Active NPI
Jacquelyn B. Garrett, M.D.
- Dermatology Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jacquelyn Brewer Garrett, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 DirectoryLocations
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
- 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.
-
- Dermatology Physician
- Saint Louis, MO
- NPI 1851495907
-
- Dermatology Physician
- Saint Louis, MO
- NPI 1730507617
-
- Physician Assistant
- Saint Louis, MO
- NPI 1467703975
-
- Medical Physician Assistant
- Saint Louis, MO
- NPI 1053578294
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.