Active NPI
Alyssa Katherine Rowe, FNP-BC
- Family Nurse Practitioner
- Creve Coeur, MO
National Provider Identifier
1619574894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2019033043
- Practice address
- 11560 Olive Blvd
Creve Coeur, MO 63141-7111 - Phone
- (314) 995-7128
- NPI assigned
- Oct 1, 2020
- Last updated
- Jan 27, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2019033043 | MO | Primary |
Addresses
Primary practice location
11560 Olive Blvd
Creve Coeur, MO 63141-7111
Mailing address
11560 Olive Blvd
Creve Coeur, MO 63141-7111
Phone (314) 995-7128
Other names 1
- Alyssa Rudolph
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019033043 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Louis Bariatrics LLC | Past | Accepting new patients | |
| Revital LLC | Past | Accepting new patients | |
| STL Bariatrics LP | Past | Accepting new patients |
Organizations & group practices 5
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.
-
dba HarmonyCares Health Services
- Family Medicine Physician
- Jackson, MS
- NPI 1093543902
MO
-
- Internal Medicine Physician
- Chesterfield, MO
- NPI 1386007763
-
- Specialist
- Saint Louis, MO
- NPI 1093092611
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611705600000",
"number": "1619574894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11560 OLIVE BLVD",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631417111",
"telephone_number": "314-995-7128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11560 OLIVE BLVD",
"city": "CREVE COEUR",
"state": "MO",
"postal_code": "631417111",
"telephone_number": "314-995-7128"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROWE",
"first_name": "ALYSSA",
"middle_name": "KATHERINE",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-01",
"last_updated": "2021-01-27",
"certification_date": "2021-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2019033043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALYSSA",
"last_name": "RUDOLPH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Creve Coeur, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.