Active NPI
Della Louise Aridge, RN, MSN, NP
- Family Nurse Practitioner
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 063677
- Practice address
- 10004 Kennerly Rd
Suite 330 a
Saint Louis, MO 63128-2141 - Phone
- (314) 543-5963
- Fax
- (314) 525-4323
- NPI assigned
- Oct 20, 2006
- Last updated
- Jan 25, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 063677 | MO | Primary |
| Registered Nurse | 163W00000X | 063677 | MO |
Addresses
Primary practice location
10004 Kennerly Rd
Suite 330 a
Saint Louis, MO 63128-2141
Mailing address
10004 Kennerly Rd
Suite 330a
Saint Louis, MO 63128-2141
Phone (314) 543-5963
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13886 | Other | MO | ANTHEM BLUE CROSS BLUE SH |
| 425358702 | Medicaid | MO | |
| 416213 | Other | MO | HEALTHLINK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South County Anesthesia Associates, LTD | Current | Accepting new patients | |
| South County Anesthesia Associates, LTD. | Current | Accepting new patients | |
| Franklin County Surgical Associates Inc | Past | Accepting new patients |
Locations
10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Anesthesiology Physician
- Saint Louis, MO
- NPI 1821031659
-
- Surgery Physician
- Saint Louis, MO
- NPI 1851629356
-
dba PRO Pain
- Pain Clinic/Center
- Wentzville, MO
- NPI 1114290749
-
- Surgery Physician
- Washington, MO
- NPI 1770623860
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1568481984
-
dba Mercy Hospital St Louis
- General Acute Care Hospital
- Saint Louis, MO
- NPI 1427098169
-
dba Mercy St. Louis Transport Ambulance
- Land Ambulance
- Saint Louis, MO
- NPI 1881329902
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264377600000",
"number": "1497837959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10004 KENNERLY RD",
"address_2": "SUITE 330A",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282141",
"telephone_number": "314-543-5963",
"fax_number": "314-525-4323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10004 KENNERLY RD",
"address_2": "SUITE 330 A",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631282141",
"telephone_number": "314-543-5963",
"fax_number": "314-525-4323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARIDGE",
"first_name": "DELLA",
"middle_name": "LOUISE",
"name_prefix": "Miss",
"credential": "RN, MSN, NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2010-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "063677",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "063677",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BLUE CROSS BLUE SH",
"identifier": "13886",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "425358702",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "416213",
"state": "MO"
}
],
"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 Jan 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.