Elizabeth O'Connor, ANP, CDE

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

073987 Issued in MO

Practice address

969 N Mason Rd
Suite 145
Saint Louis, MO 63141-6338

Phone

(314) 434-5283

NPI assigned

Jul 9, 2010

Last updated

Aug 23, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282521600000",
    "number": "1356653190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 MAPLEVIEW DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631303814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 N MASON RD",
            "address_2": "SUITE 145",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416338",
            "telephone_number": "314-434-5283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'CONNOR",
        "first_name": "ELIZABETH",
        "credential": "ANP, CDE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-09",
        "last_updated": "2010-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "073987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Srijana O'Connell, M.D.
• Julia O'Conner, PT, DPT
• Kyra O'Conner, BCBA
• Amanda O'Connor, CPNP-PC
• Brendan Joseph O'Connor, MD
• Laura Alexander O'Connor, P.T.
• Mena O'Connor, MSW, LCSW
• Michael D O'Connor, MD
• Sarah Margaret O'Connor, PTA
• Shawn David O'Connor, MD

• Adult Health Nurse Practitioner in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Adult Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; 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.