Active NPI
Hampton Village Pediatrics, LLC
- Primary Care Clinic/Center
- Saint Louis, MO
National Provider Identifier
1578711420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- 2008015366
- Legal business name
- HAMPTON VILLAGE PEDIATRICS, LLC
- Practice address
- 16 Hampton Village PLZ 220
Saint Louis, MO 63109-2128 - Phone
- (314) 351-2004
- Fax
- (314) 351-0347
- NPI assigned
- Sep 4, 2008
- 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. Melissa A. Whitson, D.O.
- Title
- Pediatrician/Owner
- Phone
- (314) 351-2004
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 2008015366 | MO | |
| Primary Care Clinic/Center | 261QP2300X | 2008015366 | MO | Primary |
Addresses
Primary practice location
16 Hampton Village PLZ 220
Saint Louis, MO 63109-2128
Mailing address
16 Hampton Village PLZ Ste 220
Saint Louis, MO 63109-2128
Phone (314) 351-2004
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609879337 | Other | MO | TYPE 1 NPI |
| 1609879337 | Medicaid | MO |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D1088150 | Hampton Village Pediatrics, LLC | Certificate of waiver | Aug 17, 2026 |
National Provider Directory
National Provider DirectoryLocations
16 Hampton Village Plz
Ste 220
Saint Louis, MO 63109
Phone (314) 351-2004
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Saint Louis, MO
- NPI 1053311100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1220486400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1603065600000",
"number": "1578711420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 HAMPTON VILLAGE PLZ STE 220",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631092128",
"telephone_number": "314-351-2004",
"fax_number": "314-351-0347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 HAMPTON VILLAGE PLZ 220",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631092128",
"telephone_number": "314-351-2004",
"fax_number": "314-351-0347"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAMPTON VILLAGE PEDIATRICS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-09-04",
"last_updated": "2020-10-19",
"certification_date": "2020-10-19",
"status": "A",
"authorized_official_last_name": "WHITSON",
"authorized_official_first_name": "MELISSA",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "PEDIATRICIAN/OWNER",
"authorized_official_telephone_number": "314-351-2004",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "MO",
"license": "2008015366",
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": "MO",
"license": "2008015366",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TYPE 1 NPI",
"identifier": "1609879337",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1609879337",
"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 Oct 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.