Individual provider Active NPI

Christine Louise St. Ours, MS, RN, LDN, CNS

  • Nutritionist
  • Dundalk, MD
National Provider Identifier
1346722295
Registry record updated Sep 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
NutritionistTaxonomy code 133N00000X
License
DX4486 Issued in MD
Practice address
Dundalk Pediatric Associates
1792 Merritt Blvd.
Dundalk, MD 21222-2122
Phone
(410) 284-1133
NPI assigned
Sep 6, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nutritionist 133N00000X DX4486 MD Primary

Addresses

Primary practice location

Dundalk Pediatric Associates
1792 Merritt Blvd.
Dundalk, MD 21222-2122

Mailing address

Dundalk Pediatric Associates
1792 Merritt Blvd.
Dundalk, MD 21222
Phone (410) 284-1133

Other practice location 1

Dundalk Pediatric Associates
1792 Merritt Blvd.
Dundalk, MD 21222-2122
Phone (410) 284-1133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Certified Nurse Specialist, Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
DX4486MDMDNutritionist

NPI Registry JSON

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

{
    "created_epoch": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536192000000",
    "number": "1346722295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DUNDALK PEDIATRIC ASSOCIATES",
            "address_2": "1792 MERRITT BLVD.",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "21222",
            "telephone_number": "410-284-1133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DUNDALK PEDIATRIC ASSOCIATES",
            "address_2": "1792 MERRITT BLVD.",
            "city": "DUNDALK",
            "state": "MD",
            "postal_code": "212222122",
            "telephone_number": "410-284-1133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Dundalk Pediatric Associates",
            "address_2": "1792 Merritt Blvd.",
            "address_purpose": "LOCATION",
            "city": "Dundalk",
            "state": "MD",
            "postal_code": "212222122",
            "country_code": "US",
            "telephone_number": "410-284-1133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ST. OURS",
        "first_name": "CHRISTINE",
        "middle_name": "LOUISE",
        "credential": "MS, RN, LDN, CNS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-06",
        "last_updated": "2018-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "MD",
            "license": "DX4486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dundalk, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.