Individual provider Active NPI

Lucy Marie Simpson

  • Obstetrics & Gynecology Physician
  • Saint Louis, MO
National Provider Identifier
1376239400
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2023023684 Issued in MO
Practice address
621 S New Ballas Rd Ste 2009B
Saint Louis, MO 63141-8265
Phone
(314) 251-6062
Fax
(314) 251-4376
NPI assigned
Apr 12, 2023
Last updated
Jun 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2023023684 MO Primary

Addresses

Primary practice location

621 S New Ballas Rd Ste 2009B
Saint Louis, MO 63141-8265

Mailing address

621 S New Ballas Rd Ste 2009B
Saint Louis, MO 63141-8265
Phone (314) 251-6062

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230706000304 MO Order and Referring Only - Obstetrics/GynecologyPractitioner - Obstetrics/Gynecology 7810356060

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2023023684MOMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1681257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1376239400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 2009B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418265",
            "telephone_number": "314-251-6062",
            "fax_number": "314-251-4376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD STE 2009B",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418265",
            "telephone_number": "314-251-6062",
            "fax_number": "314-251-4376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "LUCY",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-12",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2023023684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.