Jessica Marie St.Louis, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

1871 Issued in TX

Practice address

5200 Davis LN Ste B120
Austin, TX 78749-4068

Phone

(844) 475-8289

Fax

(512) 450-0086

NPI assigned

Jan 18, 2007

Last updated

Sep 25, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Randy L. Lisch, DPM, P.a.

  • Podiatrist
  • Austin, TX
  • NPI 1548356397
  NPD

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

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1649323270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4310 JAMES CASEY ST",
            "address_2": "STE 3A",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787451120",
            "telephone_number": "614-678-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 DAVIS LN STE B120",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787494068",
            "telephone_number": "844-475-8289",
            "fax_number": "512-450-0086"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3131 W Broad St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432041306",
            "country_code": "US",
            "telephone_number": "614-272-8854",
            "fax_number": "614-272-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ST.LOUIS",
        "first_name": "JESSICA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1871",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2727599",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• St. Edwards University
• Brian St. Louis, D.D.S., M.S.
• St. Michael's Labs, Austin, Inc.
• Lauren St. Pierre, L.AC.
• St. Teresa of Calcutta Home Health, LLC
• Marsha Ann Staats, M.D.
• Stacey Rosas LCSW PLLC
• Brian Stacey
• Timothy R. Stacey, LPC
• Elinor Farwell Stackhouse

• Podiatrist in Austin, TX
• Providers in Austin, TX by specialty
• Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2018; 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.