Individual provider Active NPI

Amanda Caravelli, APRN - CNS

  • Clinical Nurse Specialist
  • Saint Louis, MO
National Provider Identifier
1417784430
Registry record updated Sep 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Nurse SpecialistTaxonomy code 364S00000X
License
2024036773 Issued in MO
Practice address
8300 Eager Rd Ste 2F
Saint Louis, MO 63144-1405
Phone
(314) 326-8024
NPI assigned
Sep 14, 2024
Last updated
Sep 14, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Nurse Specialist 364S00000X 2024036773 MO Primary

Addresses

Primary practice location

8300 Eager Rd Ste 2F
Saint Louis, MO 63144-1405

Mailing address

1246 Highway 19
Cuba, MO 65453-5114
Phone (314) 922-3210

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
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
2024036773MOMDClinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1726272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726272000000",
    "number": "1417784430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1246 HIGHWAY 19",
            "city": "CUBA",
            "state": "MO",
            "postal_code": "654535114",
            "telephone_number": "314-922-3210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8300 EAGER RD STE 2F",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631441405",
            "telephone_number": "314-326-8024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARAVELLI",
        "first_name": "AMANDA",
        "credential": "APRN - CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-14",
        "last_updated": "2024-09-14",
        "certification_date": "2024-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364S00000X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist",
            "state": "MO",
            "license": "2024036773",
            "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 Sep 14, 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.