Individual provider Active NPI

Chloe Suzanne Datillo, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1366096703
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2019025323 Issued in MO
Practice address
1201 S Grand Blvd
Saint Louis, MO 63104-1016
Phone
(314) 617-2000
NPI assigned
Jul 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2019025323 MO Primary

Addresses

Primary practice location

1201 S Grand Blvd
Saint Louis, MO 63104-1016

Mailing address

2865 Netherton Dr.
St Louis, MO 63136
Phone (314) 653-1600

Other practice location 1

2865 Netherton Dr.
St Louis, MO 63136
Phone (314) 653-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190923000895 MO Practitioner - Nurse Practitioner 8325378185 Reassigns benefits to 3 organizations
I20220903000386 IL Practitioner - Nurse Practitioner 8325378185 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christian Hospital Physician Billing Services LLCGroup PAC ID 4284796913, 11 clinicians
Alton Memorial Physician Billing Services LLCGroup PAC ID 9436389442, 11 clinicians

Practice addresses (Care Compare)

11125 Dunn Rd
Suite 204
Saint Louis, MO 63136-6188
Phone (314) 839-5522

2 Memorial Dr
Suite 122
Alton, IL 62002-6723
Phone (618) 462-6612

Hospital & facility affiliations

  • Alton Memorial Hospital Hospital, Alton, IL, CCN 140002
  • Christian Hospital Northeast Hospital, Saint Louis, MO, CCN 260180

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2019025323MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christian Hospital Physician Billing Services LLC CurrentSince May 1, 2022 Accepting new patients
St Louis Cardiology Consultants LTD CurrentSince May 1, 2022 Accepting new patients
Alton Memorial Physician Billing Services LLC CurrentSince Sep 1, 2022 Accepting new patients
David J. Pernikoff, MD, PC CurrentSince Sep 1, 2019 Accepting new patients
Alton Memorial Physician Billing Services, LLC Past Accepting new patients

Locations

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

2 Memorial Dr
Ste 122
Alton, IL 62002
Phone (618) 462-6612

2 Memorial Dr
Ste 102
Alton, IL 62002
Phone (618) 288-0900

2865 Netherton Dr
Saint Louis, MO 63136
Phone (314) 653-0918

11125 Dunn Rd
Ste 204
Saint Louis, MO 63136
Phone (314) 355-2300

Interoperability endpoints

  • Direct secure messaging: cdatillo422658@direct-ehr-ssmhc.com
  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 6

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 4

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": "1563926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1366096703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2865 NETHERTON DR.",
            "city": "ST LOUIS",
            "state": "MO",
            "postal_code": "63136",
            "telephone_number": "314-653-1600",
            "fax_number": "314-355-5716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 S GRAND BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631041016",
            "telephone_number": "314-617-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2865 Netherton Dr.",
            "address_purpose": "LOCATION",
            "city": "St Louis",
            "state": "MO",
            "postal_code": "63136",
            "country_code": "US",
            "telephone_number": "314-653-1600",
            "fax_number": "314-355-5716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DATILLO",
        "first_name": "CHLOE",
        "middle_name": "SUZANNE",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-24",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2019025323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.