Individual provider Active NPI

Osie K Halfaker

  • Registered Nurse First Assistant
  • Saint Charles, MO
National Provider Identifier
1407525934
Registry record updated Sep 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
061783 Issued in MO
Practice address
405 Savannah Ridge Dr
Saint Charles, MO 63303-2918
Phone
(636) 244-0704
Fax
(636) 244-0704
NPI assigned
Sep 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 061783 MO Primary

Addresses

Primary practice location

405 Savannah Ridge Dr
Saint Charles, MO 63303-2918

Mailing address

405 Savannah Ridge Dr
Saint Charles, MO 63303-2918
Phone (636) 244-0704

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Ballwin

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

State licenses

LicenseStateTypeSpecialty
061783MOMDRegistered Nurse First Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Louis First Assistants,LLC Registered Nurse First Assistant PastSince Sep 12, 2021 Accepting new patients

Organizations & group practices 1

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": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631059200000",
    "number": "1407525934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 SAVANNAH RIDGE DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633032918",
            "telephone_number": "636-244-0704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 SAVANNAH RIDGE DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633032918",
            "telephone_number": "636-244-0704",
            "fax_number": "636-244-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALFAKER",
        "first_name": "OSIE",
        "middle_name": "K",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-08",
        "last_updated": "2021-09-08",
        "certification_date": "2021-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "MO",
            "license": "061783",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Ballwin",
            "affiliation": "N",
            "address_1": "405 Savannah Ridge Dr",
            "city": "Saint Charles",
            "state": "MO",
            "country_code": "US",
            "postal_code": "633032918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; 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.