Active NPI
Tammy Lebrell
- Psychiatric/Mental Health Nurse Practitioner
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 2019004300
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-1328
Hospital & facility affiliations
- Mercy Hospital South
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Family Services Inc. | Current | Accepting new patients | |
| St Louis Counseling Inc | Current | Accepting new patients | |
| Mercy Aco Clinical Services Inc | Current | Accepting new patients | |
| Mercy Clinic Adult Hospitalists - St. Louis, LLC | Current | Accepting new patients | |
| Mercy Clinic Adult Hospitalists - Washington, LLC | Current | Accepting new patients | |
| St Anthonys Physician Organization Hospitalist Services, L.C. | Current | Accepting new patients | |
| Mercy Clinic Adult Hospitalists- Jefferson, LLC | Current | 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.
-
- Hospitalist Physician
- Saint Louis, MO
- NPI 1407216336
MO
-
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1841235108
MO
-
- Hospitalist Physician
- Washington, MO
- NPI 1891943429
MO
-
- Internal Medicine Physician
- Festus, MO
- NPI 1083052492
MO
-
- Mental Health Counselor
- Union, MO
- NPI 1154480176
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2019; 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.