Individual provider Active NPI

Tammy Lebrell

  • Psychiatric/Mental Health Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1508324351
Registry record updated Mar 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2019004300 Issued in MO
Practice address
6651 Chippewa St Ste 224
Saint Louis, MO 63109-2531
Phone
(314) 645-6840
Fax
(314) 645-6847
NPI assigned
Mar 11, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2019004300 MO Primary

Addresses

Primary practice location

6651 Chippewa St Ste 224
Saint Louis, MO 63109-2531

Mailing address

1203 Ashford Place Dr
O Fallon, MO 63366-2005
Phone (870) 405-2956

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191016002832 MO Practitioner - Nurse Practitioner 6002147402 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Saint Louis University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Anthonys Physician Organization Hospitalist Services LCGroup PAC ID 5092980656, 140 clinicians

Practice addresses (Care Compare)

10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-1328

Hospital & facility affiliations

  • Mercy Hospital South Hospital, Saint Louis, MO, CCN 260077

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Family Services Inc. CurrentSince Sep 1, 2021 Accepting new patients
St Louis Counseling Inc CurrentSince Sep 1, 2021 Accepting new patients
Mercy Aco Clinical Services Inc CurrentSince Jun 13, 2022 Accepting new patients
Mercy Clinic Adult Hospitalists - St. Louis, LLC CurrentSince Jul 11, 2022 Accepting new patients
Mercy Clinic Adult Hospitalists - Washington, LLC CurrentSince Jul 11, 2022 Accepting new patients
St Anthonys Physician Organization Hospitalist Services, L.C. CurrentSince Jul 11, 2022 Accepting new patients
Mercy Clinic Adult Hospitalists- Jefferson, LLC CurrentSince Jul 11, 2022 Accepting new patients

Locations

15740 South Outer 40 Rd
Chesterfield, MO 63017
Phone (636) 735-4268

1400 US Highway 61
Crystal Cty, MO 63028
Phone (636) 933-1111

5 Premier Dr
Ste 200
Fenton, MO 63026
Phone (314) 544-3800

10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328

615 S New Ballas Rd
#H
Saint Louis, MO 63141
Phone (314) 251-6075

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115

140 Professional Pkwy
Troy, MO 63379
Phone (636) 528-5591

851 E 5th St
Ste 154
Washington, MO 63090
Phone (314) 251-6663

901 E 5th St
Washington, MO 63090
Phone (636) 239-8000

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1552262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552262400000",
    "number": "1508324351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1203 ASHFORD PLACE DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633662005",
            "telephone_number": "870-405-2956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6651 CHIPPEWA ST STE 224",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631092531",
            "telephone_number": "314-645-6840",
            "fax_number": "314-645-6847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEBRELL",
        "first_name": "TAMMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-11",
        "last_updated": "2019-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2019004300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.