Active NPI
Veterans Advantage Urgent Care,Inc
- Urgent Care Clinic/Center
- Saint Louis, MO
National Provider Identifier
1639782121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | |||
| Acupuncturist | 171100000X | |||
| Podiatrist | 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
National Provider Directory
National Provider DirectoryLocations
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.