Active NPI
Linda Kaiser, APRN
- Primary Care Nurse Practitioner
- O Fallon, MO
National Provider Identifier
1629031851
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 083502
- Practice address
- 844 Waterbury Falls Dr
O Fallon, MO 63368-2215 - Phone
- (314) 652-4100
- Fax
- (314) 289-6360
- NPI assigned
- Apr 10, 2006
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 083502 | MO | Primary |
Addresses
Primary practice location
844 Waterbury Falls Dr
O Fallon, MO 63368-2215
Mailing address
316 Addyston Pointe
Saint Peters, MO 63376-2450
Phone (314) 422-3521
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)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clinical Research Associates, PC | Past | 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 and National Provider Directory roles.
-
- Psychiatry Physician
- Saint Louis, MO
- NPI 1063632826
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1367280000000",
"number": "1629031851",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 ADDYSTON POINTE",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633762450",
"telephone_number": "314-422-3521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "844 WATERBURY FALLS DR",
"city": "O FALLON",
"state": "MO",
"postal_code": "633682215",
"telephone_number": "314-652-4100",
"fax_number": "314-289-6360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAISER",
"first_name": "LINDA",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-10",
"last_updated": "2013-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MO",
"license": "083502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in O Fallon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.