Active NPI
Sarah Kimmel, EDS, LPC
- Community Health Worker
- Saint Louis, MO
National Provider Identifier
1629448287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- License
- 2013038288
- Practice address
- 102 Mitchell St
Saint Louis, MO 63122-4554 - Phone
- (816) 786-0638
- NPI assigned
- Sep 25, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | 2013038288 | MO | Primary |
Addresses
Primary practice location
102 Mitchell St
Saint Louis, MO 63122-4554
Mailing address
102 Mitchell St
Saint Louis, MO 63122-4554
Phone (816) 786-0638
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2013038288 | MO | MD | Community Health Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443139200000",
"number": "1629448287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 MITCHELL ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631224554",
"telephone_number": "816-786-0638"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 MITCHELL ST",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631224554",
"telephone_number": "816-786-0638"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMMEL",
"first_name": "SARAH",
"credential": "EDS, LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-09-25",
"last_updated": "2015-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "MO",
"license": "2013038288",
"primary": true
}
],
"identifiers": [],
"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 Sep 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.