Individual provider Active NPI

Jessica Speece, RNFA

  • Registered Nurse First Assistant
  • Saint Charles, MO
National Provider Identifier
1588243034
Registry record updated Apr 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
2018004937 Issued in MO
Practice address
405 Savannah Ridge Dr
Saint Charles, MO 63303-2918
Phone
(636) 244-0704
Fax
(636) 244-0704
NPI assigned
Apr 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 2018004937 MO Primary

Addresses

Primary practice location

405 Savannah Ridge Dr
Saint Charles, MO 63303-2918

Mailing address

29 Crescent Woods Dr
Saint Peters, MO 63376-3073
Phone (636) 328-9130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2018004937MOMDRegistered Nurse First Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St. Louis First Assistants,LLC Registered Nurse First Assistant PastSince Apr 6, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1617321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617321600000",
    "number": "1588243034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 CRESCENT WOODS DR",
            "city": "SAINT PETERS",
            "state": "MO",
            "postal_code": "633763073",
            "telephone_number": "636-328-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 SAVANNAH RIDGE DR",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633032918",
            "telephone_number": "636-244-0704",
            "fax_number": "636-244-0704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEECE",
        "first_name": "JESSICA",
        "credential": "RNFA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-02",
        "last_updated": "2021-04-02",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "MO",
            "license": "2018004937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2021; 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.