Individual provider Active NPI

Yalonda Amerson, FNP

  • Family Nurse Practitioner
  • Saint Peters, MO
National Provider Identifier
1497280721
Registry record updated Apr 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2016023765 Issued in MO
Practice address
1220 Cashmere LN
Saint Peters, MO 63376-2592
Phone
(314) 265-3064
Fax
(314) 584-3333
NPI assigned
Apr 24, 2017
Last updated
Apr 24, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2017

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 2016023765 MO Primary

Addresses

Primary practice location

1220 Cashmere LN
Saint Peters, MO 63376-2592

Mailing address

1220 Cashmere LN
Saint Peters, MO 63376-2592
Phone (314) 265-3064

Other identifiers 1

IdentifierTypeStateIssuer
1154643047MedicaidMO

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
2016023765MOMDPhysical Therapist

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1492992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492992000000",
    "number": "1497280721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 CASHMERE LN",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762592",
            "telephone_number": "314-265-3064",
            "fax_number": "314-584-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 CASHMERE LN",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633762592",
            "telephone_number": "314-265-3064",
            "fax_number": "314-584-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMERSON",
        "first_name": "YALONDA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-24",
        "last_updated": "2017-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2016023765",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154643047",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Peters, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2017; 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.