Individual provider Active NPI

Hillary Allison Ewing, AGPCNP-BC

  • Adult Health Nurse Practitioner
  • Chesterfield, MO
National Provider Identifier
1629689625
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
2020011707 Issued in MO
Practice address
550 White Rd
Chesterfield, MO 63017-2399
Phone
(314) 469-1200
NPI assigned
Aug 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 2020011707 MO Primary

Addresses

Primary practice location

550 White Rd
Chesterfield, MO 63017-2399

Mailing address

550 White Rd
Chesterfield, MO 63017-2399
Phone (314) 469-1200

Other practice location 1

152 Burning Leaf Dr
Saint Peters, MO 63376-6924
Phone (636) 577-0416

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL LCCA.com Life Care Centers Of America, Inc.

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
2020011707MOMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1597190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1629689625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 WHITE RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172399",
            "telephone_number": "314-469-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 WHITE RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630172399",
            "telephone_number": "314-469-1200"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "152 Burning Leaf Dr",
            "address_purpose": "LOCATION",
            "city": "Saint Peters",
            "state": "MO",
            "postal_code": "633766924",
            "country_code": "US",
            "telephone_number": "636-577-0416",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EWING",
        "first_name": "HILLARY",
        "middle_name": "ALLISON",
        "name_prefix": "Mrs.",
        "credential": "AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-12",
        "last_updated": "2023-11-27",
        "certification_date": "2020-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2020011707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "LCCA.com",
            "affiliation": "Y",
            "affiliationName": "Life Care Centers Of America, Inc.",
            "address_1": "550 White Rd",
            "city": "Chesterfield",
            "state": "MO",
            "country_code": "US",
            "postal_code": "630172399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.