Individual provider Active NPI

Noura Zakari, NP

  • Nurse Practitioner
  • Clayton, MO
National Provider Identifier
1346614161
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2011025450 Issued in MO
Practice address
401 Corporate Park Dr
Clayton, MO 63105-4201
Phone
(636) 288-4149
NPI assigned
Nov 17, 2015
Last updated
Oct 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2011025450 MO Primary

Addresses

Primary practice location

401 Corporate Park Dr
Clayton, MO 63105-4201

Mailing address

2025 Zumbehl Rd
Saint Charles, MO 63303-2723
Phone (636) 228-4149

Other practice location 1

6420 Clayton Rd
Saint Louis, MO 63117-1811
Phone (314) 317-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160502002397 MO Practitioner - Nurse Practitioner 5799084422 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Med Clinical Practice LLCGroup PAC ID 9537605274, 16 clinicians
Sound Physicians of Illinois LLCGroup PAC ID 1557533734, 193 clinicians

Practice addresses (Care Compare)

401 Corporate Park Dr
Clayton, MO 63105-4201
Phone (716) 292-6551

6420 Clayton Rd
Richmond Heights, MO 63117-1811
Phone (314) 768-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2011025450MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sound Physicians of Illinois, LLC CurrentSince May 22, 2017 Accepting new patients
Southeastern Physician Services PC Nurse Practitioner CurrentSince Jul 1, 2016 Accepting new patients
Med Clinical Practice LLC CurrentSince Aug 25, 2024 Accepting new patients
Cogent Healthcare of Missouri, Inc CurrentSince Jan 1, 2022 Accepting new patients
James Cole Physiatry LLC Nurse Practitioner CurrentSince Feb 1, 2024 Accepting new patients

Locations

12303 De Paul Dr
Bridgeton, MO 63044
Phone (314) 344-6360

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

2025 Zumbehl Rd
Saint Charles, MO 63303
Phone (314) 492-4020

300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211

11160 Village North Dr
Saint Louis, MO 63136
Phone (314) 355-8010

11278 Schuetz Rd
Saint Louis, MO 63146
Phone (314) 991-4066

401 Corporate Park Dr
Saint Louis, MO 63105
Phone (314) 725-7447

4455 Duncan Ave
Saint Louis, MO 63110
Phone (314) 658-3800

6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442

10 Hospital Dr
Saint Peters, MO 63376
Phone (636) 394-2522

10 Hospital Dr
Fl 3
Saint Peters, MO 63376
Phone (314) 576-5545

5400 Executive Centre Pkwy
Saint Peters, MO 63376
Phone (636) 288-4149

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1346614161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 ZUMBEHL RD",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633032723",
            "telephone_number": "636-228-4149",
            "fax_number": "314-317-0606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 CORPORATE PARK DR",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631054201",
            "telephone_number": "636-288-4149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6420 Clayton Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631171811",
            "country_code": "US",
            "telephone_number": "314-317-0600",
            "fax_number": "314-317-0606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZAKARI",
        "first_name": "NOURA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2011025450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, MO

Sources for this page

Verify at the official NPI Registry.