Individual provider Active NPI

Izabela Fidala

  • Registered Nurse
  • Saint Louis, MO
National Provider Identifier
1386569218
Registry record updated Aug 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
154222 Issued in MO
Practice address
6 Cardinal Way Ste 900
Saint Louis, MO 63102-2807
Phone
(917) 771-7295
NPI assigned
Aug 11, 2026
Last updated
Aug 11, 2026By the provider in NPPES
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163W00000X 154222 MO Primary

Addresses

Primary practice location

6 Cardinal Way Ste 900
Saint Louis, MO 63102-2807

Mailing address

6 Cardinal Way Ste 900
Saint Louis, MO 63102-2807
Phone (917) 771-7295

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1786406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1386569218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CARDINAL WAY STE 900",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631022807",
            "telephone_number": "917-771-7295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 CARDINAL WAY STE 900",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631022807",
            "telephone_number": "917-771-7295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIDALA",
        "first_name": "IZABELA",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2026-08-11",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "154222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.