Organization Active NPI

Hampton Village Pediatrics, LLC

  • Primary Care Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1578711420
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
2008015366 Issued in MO
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

Updated by the provider on Oct 19, 2020

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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1609879337OtherMOTYPE 1 NPI
1609879337MedicaidMO

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D1088150Hampton Village Pediatrics, LLC16 Hampton Village Plaza, Suite 220, Saint Louis, MO 63109Certificate of waiverAug 17, 2026

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.