Individual provider Active NPI

Lekeshia Smith, FNP

  • Family Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1366074569
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2018001601 Issued in MO
Practice address
10004 Kennerly Rd Ste 374B
Saint Louis, MO 63128-2178
Phone
(314) 842-9669
Fax
(314) 842-1017
NPI assigned
Feb 6, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 2018001601 MO Primary

Addresses

Primary practice location

10004 Kennerly Rd Ste 374B
Saint Louis, MO 63128-2178

Mailing address

10004 Kennerly Rd Ste 374B
Saint Louis, MO 63128-2178

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
I20200407001385 MO Practitioner - Nurse Practitioner 2264861681 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NHS South LLCGroup PAC ID 1658797246, 9 clinicians

Practice addresses (Care Compare)

10004 Kennerly Rd
Suite 374B
Saint Louis, MO 63128-2141

10241 Lewis and Clark Blvd
Saint Louis, MO 63136-5505
Phone (314) 842-9669

10951 Saint Charles Rock Rd
Saint Ann, MO 63074-1505
Phone (314) 842-9669

11133 Dunn Rd
Saint Louis, MO 63136-6163
Phone (314) 653-5000

12303 Depaul Dr
Bridgeton, MO 63044-2512
Phone (314) 344-6000

13119 New Halls Ferry Rd
Florissant, MO 63033-3228
Phone (314) 842-9669

14001 New Halls Ferry Rd
Suite 133
Florissant, MO 63033-2708
Phone (314) 842-9669

1554 Sierra Vista PLZ
Saint Louis, MO 63138-2040
Phone (314) 842-9669

25 N Oaks PLZ
Saint Louis, MO 63121-2911
Phone (314) 842-9669

2840 Target Dr
Saint Louis, MO 63136-4695
Phone (314) 842-9669

4030 Chouteau Ave
Saint Louis, MO 63110-1754
Phone (314) 842-9669

577 Howdershell Rd
Florissant, MO 63031-6401
Phone (314) 842-9669

6420 Clayton Rd
Richmond Heights, MO 63117-1811
Phone (314) 768-8000

8029 W Florissant Ave
Saint Louis, MO 63136-1400
Phone (314) 842-9669

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
NHS South LLC Multi-Specialty CurrentSince Oct 1, 2020 Accepting new patients

Locations (25 of 43)

2194 Michigan Ave
Arnold, MO 63010
Phone (636) 287-1160

102 Richardson Xing
Arnold, MO 63010
Phone (636) 467-5619

12380 Natural Bridge Rd
Bridgeton, MO 63044
Phone (314) 344-3001

12303 De Paul Dr
Bridgeton, MO 63044
Phone (314) 344-6360

12380 De Paul Dr
Bridgeton, MO 63044
Phone (314) 447-9700

1224 Graham Rd
Ste 2005
Florissant, MO 63031
Phone (314) 921-7509

13119 New Halls Ferry Rd
Florissant, MO 63033
Phone (314) 383-3252

14001 New Halls Ferry Rd
Ste 133
Florissant, MO 63033
Phone (314) 839-7416

2 Grandview Plaza Medical Ctr
Florissant, MO 63033

577 Howdershell Rd
Florissant, MO 63031
Phone (314) 831-2178

6811 Parker Rd
Florissant, MO 63033

24 Grandview Plaza Shopping Ctr
Florissant, MO 63033
Phone (314) 949-3462

936 Charbonier Rd
Florissant, MO 63031
Phone (314) 831-4800

637 Dunn Rd
Ste 125
Hazelwood, MO 63042
Phone (314) 731-8039

10951 Saint Charles Rock Rd
Saint Ann, MO 63074
Phone (314) 739-4691

7303 Watson Rd
Saint Louis, MO 63119

12654 Lamplighter Square Shpg Ctr
Saint Louis, MO 63128
Phone (314) 729-7979

25 N Oaks Plz
Saint Louis, MO 63121
Phone (314) 389-4105

10004 Kennerly Rd
Ste 374B
Saint Louis, MO 63128
Phone (314) 294-9210

8029 West Florissant Ave
Saint Louis, MO 63136
Phone (314) 382-2869

13134 Tesson Ferry Rd
Saint Louis, MO 63128
Phone (314) 843-7390

2610 Clark Ave
Saint Louis, MO 63103
Phone (314) 534-0909

1425 Hampton Ave
Saint Louis, MO 63139
Phone (314) 781-4022

3740 S Jefferson Ave
Saint Louis, MO 63118
Phone (314) 664-6687

324 De Baliviere Ave
Saint Louis, MO 63112
Phone (314) 367-9111

Organizations & group practices 1

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1366074569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY RD STE 374B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10004 KENNERLY RD STE 374B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282178",
            "telephone_number": "314-842-9669",
            "fax_number": "314-842-1017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LEKESHIA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2018001601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.