Individual provider Active NPI

Alexandra Louise Venuto, AGNP

  • Primary Care Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1376325597
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
2024002810 Issued in MO
Practice address
4488 Forest Park Ave
Div Neurology Aging and Dementia, Ste 160
Saint Louis, MO 63108-2283
Phone
(314) 286-1967
Fax
(314) 286-1985
NPI assigned
Oct 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 2024002810 MO Primary

Addresses

Primary practice location

4488 Forest Park Ave
Div Neurology Aging and Dementia, Ste 160
Saint Louis, MO 63108-2283

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone (314) 286-1967

Other identifiers 1

IdentifierTypeStateIssuer
420136491MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

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
I20240403002834 MO Practitioner - Nurse Practitioner 1658719190 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Washington UniversityGroup PAC ID 9830008770, 2,968 clinicians

Practice addresses (Care Compare)

4488 Forest Park Ave
Suite 160
Saint Louis, MO 63108-2215
Phone (314) 362-1408

Hospital & facility affiliations

  • Missouri Delta Medical Center Hospital, Sikeston, MO, CCN 260113
  • Cox Medical Centers Hospital, Springfield, MO, CCN 260040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2024002810MOMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University CurrentSince Feb 26, 2024 Accepting new patients
Washington University CurrentSince Feb 26, 2024 Accepting new patients
Washington University Past Accepting new patients

Locations

4921 Parkview Pl
Fl 7
Saint Louis, MO 63110
Phone (314) 362-6908

4455 Duncan Ave
Saint Louis, MO 63110
Phone (314) 658-3800

1600 S Brentwood Blvd
Ste 600
Saint Louis, MO 63144
Phone (314) 362-4342

660 S Euclid Ave
Saint Louis, MO 63110

4488 Forest Park Ave
Ste 160
Saint Louis, MO 63108
Phone (314) 286-1967

4921 Parkview Pl
Ste 6C
Saint Louis, MO 63110
Phone (314) 362-6981

660 S Euclid Ave
#8111
Saint Louis, MO 63110
Phone (314) 362-3281

Organizations & group practices 3

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": "1698019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1376325597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "314-286-1967",
            "fax_number": "314-286-1985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4488 FOREST PARK AVE",
            "address_2": "DIV NEUROLOGY AGING AND DEMENTIA, STE 160",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082283",
            "telephone_number": "314-286-1967",
            "fax_number": "314-286-1985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VENUTO",
        "first_name": "ALEXANDRA",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-23",
        "last_updated": "2025-04-17",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MO",
            "license": "2024002810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "420136491",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "4488 Forest Park Ave",
            "address_2": "Div Neurology Aging and Dementia, Ste 160",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631082283",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.