Leticia Pedroso Salaro Telles

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

Practice address

470 E Lockwood Ave
Saint Louis, MO 63119-3141

Phone

(314) 246-7795

NPI assigned

Oct 31, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1730332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1407679236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "527 ROARING FORK DR",
            "city": "GROVER",
            "state": "MO",
            "postal_code": "630401566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 E LOCKWOOD AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631193141",
            "telephone_number": "314-246-7795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDROSO SALARO TELLES",
        "first_name": "LETICIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-31",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MO",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatric Urology Specialists, PC
• Pediatrix Medical Group
• Pediatrix Medical Group
• Pediatrix Medical Group of Missouri, P.C.
• Pedirite Medical Mo LLC
• Peds' Needs Inc
• Gregory Peebles, AM, MA, PLPC
• Hannah Michelle Peek, CAA
• Mary Peeples, DO
• Adam Kent Peery, FNP

• Student in an Organized Health Care Education/Training Program in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Student in an Organized Health Care Education/Training Program in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.