Individual provider Active NPI

Gianna Treat

  • Pediatric Nurse Practitioner
  • Wentzville, MO
National Provider Identifier
1346908308
Registry record updated Feb 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
2021048584 Issued in MO
Practice address
1502 W Meyer Rd
Wentzville, MO 63385-3653
Phone
(636) 698-6200
NPI assigned
Dec 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 2021048584 MO Primary

Addresses

Primary practice location

1502 W Meyer Rd
Wentzville, MO 63385-3653

Mailing address

1502 W Meyer Rd
Wentzville, MO 63385-3653
Phone (636) 698-6200

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
I20220106001800 MO Order and Referring Only - Nurse Practitioner 2567853203

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021048584MOMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tiger Pediatrics LLC Past Accepting new patients
Mercy Clinic East Communities Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708646400000",
    "number": "1346908308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 W MEYER RD",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853653",
            "telephone_number": "636-698-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 W MEYER RD",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633853653",
            "telephone_number": "636-698-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TREAT",
        "first_name": "GIANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-07",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MO",
            "license": "2021048584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wentzville, MO

Sources for this page

Verify at the official NPI Registry.