Individual provider Active NPI

Lisa E Sommerhauser, R.N.

  • Registered Nurse
  • Saint Louis, MO
National Provider Identifier
1477708147
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
107646 Issued in MO
Practice address
111 S Meramec Ave
Saint Louis, MO 63105-1711
Phone
(314) 615-1628
NPI assigned
Nov 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 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 107646 MO Primary
College Health Registered Nurse 163WC1400X 107646 MO

Addresses

Primary practice location

111 S Meramec Ave
Saint Louis, MO 63105-1711

Mailing address

111 S Meramec Ave
Saint Louis, MO 63105-1711
Phone (314) 615-1628

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
107646MOMDCollege Health Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1227398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318204800000",
    "number": "1477708147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S MERAMEC AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631051711",
            "telephone_number": "314-615-1628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S MERAMEC AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631051711",
            "telephone_number": "314-615-1628"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMMERHAUSER",
        "first_name": "LISA",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-23",
        "last_updated": "2011-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "107646",
            "primary": true
        },
        {
            "code": "163WC1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, College Health",
            "state": "MO",
            "license": "107646",
            "primary": false
        }
    ],
    "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 Oct 10, 2011; 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.