Active NPI
Duong Thuy Ho, FNP-C
- Family Nurse Practitioner
- Bridgeton, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2016005208
- Practice address
- 12774 Boenker LN
Bridgeton, MO 63044-2436 - Phone
- (314) 291-7997
- Fax
- (314) 678-0583
- NPI assigned
- Jun 23, 2016
- Last updated
- Apr 6, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2016005208 | MO | Primary |
Addresses
Primary practice location
12774 Boenker LN
Bridgeton, MO 63044-2436
Mailing address
7801 Kammerer Ave
Saint Louis, MO 63123-6839
Phone (314) 814-2921
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Christian Hospital Northeast- Northwest |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
12774 Boenker LN
Bridgeton, MO 63044-2436
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Liberty Hospital Coporation | Current | Accepting new patients | |
| New Liberty Hospital Corporation | Current | Accepting new patients | |
| Northwest Infectious Disease Services LLC | Current | Accepting new patients | |
| New Liberty Hospital Corporation | Current | Accepting new patients |
Locations
1 Saint Anthonys Way
Alton, IL 62002
Phone (618) 233-6870
400 Maple Summit Rd
Jerseyville, IL 62052
Phone (618) 498-6402
12303 De Paul Dr
Bridgeton, MO 63044
Phone (314) 344-6360
12380 De Paul Dr
Bridgeton, MO 63044
Phone (314) 447-9700
12774 Boenker Ln
Bridgeton, MO 63044
Phone (314) 291-7997
305 S Platte Clay Way
Kearney, MO 64060
Phone (816) 628-4409
2521 Glenn Hendren Dr
Ste 410
Liberty, MO 64068
Phone (816) 415-3437
2525 Glenn Hendren Dr
Liberty, MO 64068
Phone (816) 781-7200
300 1st Capitol Dr
Saint Charles, MO 63301
Phone (636) 669-2211
11133 Dunn Rd
Saint Louis, MO 63136
Phone (314) 653-5000
3015 N Ballas Rd
Saint Louis, MO 63131
Phone (314) 996-5330
10 Hospital Dr
Saint Peters, MO 63376
Phone (636) 394-2522
Interoperability endpoints
- duong.hoaprn.p6@direct.nlhc.nextgenshare.com
Organizations & group practices 4
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.
-
dba The Kearney Clinic
- Family Medicine Physician
- Kearney, MO
- NPI 1669734661
-
- Infectious Disease Physician
- Bridgeton, MO
- NPI 1306891551
-
- Nephrology Physician
- Liberty, MO
- NPI 1053284190
-
dba Liberty Hospital Physicians
- Internal Medicine Physician
- Liberty, MO
- NPI 1205188570
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Barnes-Jewish St Peters Hospital
- General Acute Care Hospital
- Saint Peters, MO
- NPI 1144238908
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1639186760
-
dba Christian Hospital
- Ambulance
- Saint Louis, MO
- NPI 1073769329
Hospital
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1487663506
-
dba SSM Health DePaul Hospital - St. Louis
- General Acute Care Hospital
- Bridgeton, MO
- NPI 1598835308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617667200000",
"number": "1356792196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7801 KAMMERER AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631236839",
"telephone_number": "314-814-2921"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12774 BOENKER LN",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630442436",
"telephone_number": "314-291-7997",
"fax_number": "314-678-0583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HO",
"first_name": "DUONG",
"middle_name": "THUY",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-23",
"last_updated": "2021-04-06",
"certification_date": "2021-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2016005208",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"endpointDescription": "EMR",
"affiliationName": "Christian Hospital Northeast- Northwest",
"address_1": "11133 Dunn Rd",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631366119",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Bridgeton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.