Individual provider Active NPI

Rhonda C Donovan, ANPC

  • Nurse Practitioner
  • Chesterfield, MO
National Provider Identifier
1386637577
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
0327586 Issued in MO
Practice address
224 S Woods Mill Rd
Ste 330
Chesterfield, MO 63017-3451
Phone
(314) 576-7013
Fax
(314) 576-4047
NPI assigned
Aug 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 105507 MO
Nurse Practitioner 363L00000X 0327586 MO Primary

Addresses

Primary practice location

224 S Woods Mill Rd
Ste 330
Chesterfield, MO 63017-3451

Mailing address

224 S Woods Mill Rd
Ste 330
Chesterfield, MO 63017-3451
Phone (314) 576-7013

Other identifiers 2

IdentifierTypeStateIssuer
11173602OtherCAQH
121171OtherBLUE CROSS BLUE SHIELD

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
I20100726000213 MO Practitioner - Nurse Practitioner 4082746144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Orthopedics Woods Mill LLCGroup PAC ID 4284872144, 13 clinicians

Practice addresses (Care Compare)

224 S Woods Mill Rd
Chesterfield, MO 63017-3513
Phone (314) 576-7013

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Chesterfield, MO, CCN 260179

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0327586MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
St. Lukes Orthopedics Woods Mill, LLC CurrentSince Nov 1, 2024 Accepting new patients
St. Lukes Medical Group PastSince Nov 1, 2024 Accepting new patients

Locations

121 Saint Lukes Center Dr
Chesterfield, MO 63017
Phone (314) 434-3278

121 Saint Lukes Center Dr
Fl 2
Chesterfield, MO 63017
Phone (636) 685-7749

121 Saint Lukes Center Dr
Ste 403A
Chesterfield, MO 63017
Phone (314) 573-7013

224 S Woods Mill Rd
Ste 330S
Chesterfield, MO 63017
Phone (314) 576-7013

Organizations & group practices 2

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 1

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": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294358400000",
    "number": "1386637577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 S WOODS MILL RD",
            "address_2": "STE 330",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173451",
            "telephone_number": "314-576-7013",
            "fax_number": "314-576-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 S WOODS MILL RD",
            "address_2": "STE 330",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173451",
            "telephone_number": "314-576-7013",
            "fax_number": "314-576-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "RHONDA",
        "middle_name": "C",
        "credential": "ANPC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-24",
        "last_updated": "2011-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "105507",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "0327586",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11173602",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "121171",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

Verify at the official NPI Registry.