Active NPI
Robert Howard Tversky, ANP-C
- Adult Health Nurse Practitioner
- Olivette, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 2008008844
- Practice address
- 9457 Engel LN
Olivette, MO 63132-3417 - Phone
- (314) 323-9198
- NPI assigned
- Nov 1, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2008008844 | MO | |
| Adult Health Nurse Practitioner | 363LA2200X | 2008008844 | MO | Primary |
Addresses
Primary practice location
9457 Engel LN
Olivette, MO 63132-3417
Mailing address
9457 Engel LN
Olivette, MO 63132-3417
Phone (314) 323-9198
Other practice location 1
7777 Bonhomme Ave Ste 1800
Clayton, MO 63105-1931
Phone (855) 229-2177
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008008844 | MO | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clear Practice PLLC | Current | Accepting new patients | |
| Domicilliary Service LLC | Past | Accepting new patients |
Locations
332 S Michigan Ave
Ste 900
Chicago, IL 60604
Phone (813) 395-1073
13900 Riverport Dr
Maryland Heights, MO 63043
Phone (314) 209-2700
13900 Riverport Dr
Ste 101
Maryland Heights, MO 63043
7777 Bonhomme Ave
Ste 1800
Saint Louis, MO 63105
Phone (314) 209-2800
2975 Regent Blvd
#201
Irving, TX 75063
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740528000000",
"number": "1386722841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9457 ENGEL LN",
"city": "OLIVETTE",
"state": "MO",
"postal_code": "631323417",
"telephone_number": "314-323-9198"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9457 ENGEL LN",
"city": "OLIVETTE",
"state": "MO",
"postal_code": "631323417",
"telephone_number": "314-323-9198"
}
],
"practiceLocations": [
{
"address_1": "7777 Bonhomme Ave Ste 1800",
"address_purpose": "LOCATION",
"city": "Clayton",
"state": "MO",
"postal_code": "631051931",
"country_code": "US",
"telephone_number": "855-229-2177",
"fax_number": "314-464-0759",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TVERSKY",
"first_name": "ROBERT",
"middle_name": "HOWARD",
"name_prefix": "Mr.",
"credential": "ANP-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-01",
"last_updated": "2025-02-26",
"certification_date": "2025-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2008008844",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MO",
"license": "2008008844",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Olivette, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.