Individual provider Active NPI

Sondra L McClanahan, FNP

  • Family Nurse Practitioner
  • O Fallon, MO
National Provider Identifier
1487747879
Registry record updated May 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
105589 Issued in MO
Practice address
300 Winding Woods Dr
Suite 222
O Fallon, MO 63366-4771
Phone
(636) 978-8600
Fax
(636) 978-8602
NPI assigned
Sep 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 105589 MO Primary

Addresses

Primary practice location

300 Winding Woods Dr
Suite 222
O Fallon, MO 63366-4771

Mailing address

178 Greenshire CT
O Fallon, MO 63368-8357
Phone (636) 379-3415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.71 of 100Reported as apm
Quality
82.25
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians of St. Luke'S, LLC CurrentSince Jan 6, 2024 Accepting new patients
The Health Centers, P.C. CurrentSince May 1, 2024 Accepting new patients
Physician Specialists of St Lukes LLC CurrentSince Jan 6, 2024 Accepting new patients
Mercy Hospitals East Communities PastSince Feb 23, 2010 Accepting new patients

Locations

233 Clarkson Rd
Ellisville, MO 63011
Phone (636) 256-8644

2621 Raymond Dr
Saint Charles, MO 63301
Phone (636) 946-2244

232 S Woods Mill Rd
Town and Country, MO 63017
Phone (314) 205-6030

Organizations & group practices 4

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": "1159574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430784000000",
    "number": "1487747879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 GREENSHIRE CT",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633688357",
            "telephone_number": "636-379-3415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 WINDING WOODS DR",
            "address_2": "SUITE 222",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633664771",
            "telephone_number": "636-978-8600",
            "fax_number": "636-978-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLANAHAN",
        "first_name": "SONDRA",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-30",
        "last_updated": "2015-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "105589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in O Fallon, MO

Sources for this page

Verify at the official NPI Registry.