Organization Active NPI

Veterans Advantage Urgent Care,Inc

  • Urgent Care Clinic/Center
  • Saint Louis, MO
National Provider Identifier
1639782121
Registry record updated Aug 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
VETERANS ADVANTAGE URGENT CARE,INC
Practice address
1901 Washington Ave
Saint Louis, MO 63103-1623
Phone
(314) 696-2090
NPI assigned
Aug 25, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2023

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

Authorized official

Name
Nicole Latosica Jenkins
Title
President
Phone
(314) 696-2090

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X
Physical Therapy Clinic/Center 261QP2000X
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

1901 Washington Ave
Saint Louis, MO 63103-1623

Mailing address

9151 N Swan Cir
Brentwood, MO 63144-1165
Phone (314) 696-2090

Other names 1

  • Veterans Advantage Urgent Care, INC Former legal business name

National Provider Directory

National Provider Directory

Locations

13990 Olive Blvd
Ste 102A
Chesterfield, MO 63017

1901 Washington Ave
Saint Louis, MO 63103
Phone (214) 696-2090

NPI Registry JSON

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1639782121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9151 N SWAN CIR",
            "city": "BRENTWOOD",
            "state": "MO",
            "postal_code": "631441165",
            "telephone_number": "314-696-2090",
            "fax_number": "314-261-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 WASHINGTON AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631031623",
            "telephone_number": "314-696-2090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VETERANS ADVANTAGE URGENT CARE,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-25",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "LATOSICA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-696-2090"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Veterans Advantage Urgent Care, INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Aug 24, 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.