Organization Active NPI

Jacquelyn B. Garrett, M.D.

  • Dermatology Physician
  • Saint Louis, MO
National Provider Identifier
1508480708
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
JACQUELYN B. GARRETT, M.D.
Practice address
11125 Dunn Rd Ste 411
Saint Louis, MO 63136-6132
Phone
(314) 355-7111
Fax
(314) 355-8604
NPI assigned
Jun 3, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Authorized official

Name
Dr. Jacquelyn Brewer Garrett, MDNPI 1851495907
Title
Physician
Phone
(314) 583-2263

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207N00000X Primary

Addresses

Primary practice location

11125 Dunn Rd Ste 411
Saint Louis, MO 63136-6132

Mailing address

11125 Dunn Rd Ste 411
Saint Louis, MO 63136-6132
Phone (314) 355-7111

Other practice location 1

6651 Chippewa St Ste 319
Saint Louis, MO 63109-2532
Phone (314) 781-0794

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address JGarrett@garrett.emadirect.md Health Information Exchange (HIE)
Direct Messaging Address JGarrett@garrett.emadirect.md Health Information Exchange (HIE)

National Provider Directory

National Provider Directory

Locations

11125 Dunn Rd
Ste 411
Saint Louis, MO 63136
Phone (314) 355-1166

6651 Chippewa St
Ste 319
Saint Louis, MO 63109
Phone (314) 781-0794

Interoperability endpoints

  • Direct secure messaging: jgarrett@garrett.emadirect.md

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591142400000",
    "number": "1508480708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11125 DUNN RD STE 411",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366132",
            "telephone_number": "314-355-7111",
            "fax_number": "314-355-8604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11125 DUNN RD STE 411",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631366132",
            "telephone_number": "314-355-7111",
            "fax_number": "314-355-8604"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6651 Chippewa St Ste 319",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631092532",
            "country_code": "US",
            "telephone_number": "314-781-0794",
            "fax_number": "314-781-0817",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JACQUELYN B. GARRETT, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-03",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A",
        "authorized_official_last_name": "GARRETT",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_middle_name": "BREWER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "314-583-2263",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JGarrett@garrett.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Direct Mail",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6651 Chippewa St Ste 319",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631092532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "JGarrett@garrett.emadirect.md",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11125 Dunn Rd Ste 411",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631366132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jun 3, 2020; 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.