Organization Active NPI

Mobile Health Practitioners LLC

  • Primary Care Clinic/Center
  • Festus, MO
National Provider Identifier
1356832653
Registry record updated May 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MOBILE HEALTH PRACTITIONERS LLC
Practice address
1078 Eagle Valley Dr
Festus, MO 63028-1257
Phone
(314) 488-3464
NPI assigned
May 22, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2018

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

Authorized official

Name
Zachary Ryan Vaugh, NP-CNPI 1053706556
Title
Adult Nurse Practitioner
Phone
(314) 488-3464

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X MO Primary

Addresses

Primary practice location

1078 Eagle Valley Dr
Festus, MO 63028-1257

Mailing address

1078 Eagle Valley Dr
Festus, MO 63028-1257
Phone (314) 488-3464

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1526947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1526947200000",
    "number": "1356832653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1078 EAGLE VALLEY DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630281257",
            "telephone_number": "314-488-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1078 EAGLE VALLEY DR",
            "city": "FESTUS",
            "state": "MO",
            "postal_code": "630281257",
            "telephone_number": "314-488-3464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE HEALTH PRACTITIONERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-22",
        "last_updated": "2018-05-22",
        "status": "A",
        "authorized_official_last_name": "VAUGH",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_middle_name": "RYAN",
        "authorized_official_title_or_position": "ADULT NURSE PRACTITIONER",
        "authorized_official_telephone_number": "314-488-3464",
        "authorized_official_credential": "NP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Festus, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.