Organization Active NPI

St Lukes Immediate Care LLC

  • Family Medicine Physician
  • Creve Coeur, MO
National Provider Identifier
1679426514
Registry record updated Jul 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ST LUKES IMMEDIATE CARE LLC
Practice address
11550 Olive Blvd
Creve Coeur, MO 63141-7111
Phone
(314) 576-2306
Fax
(314) 336-6224
NPI assigned
Feb 19, 2026
Last updated
Jul 15, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ST. LUKES MEDICAL GROUPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 15, 2026

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

Authorized official

Name
Mrs. Tammy Lett
Title
Chief Administrative Officer
Phone
(636) 685-7804

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Internal Medicine Physician 207R00000X

Addresses

Primary practice location

11550 Olive Blvd
Creve Coeur, MO 63141-7111

Mailing address

232 S Woods Mill Rd
Chesterfield, MO 63017-3406
Phone (314) 576-2306

National Provider Directory

National Provider Directory
Part of
St Lukes Medical Group

Locations

17421 Chesterfield Airport Rd
Chesterfield, MO 63005
Phone (636) 685-7720

12304 Manchester Rd
Des Peres, MO 63131
Phone (314) 965-6871

103 Hilltop Village Center Dr
Eureka, MO 63025
Phone (314) 576-9797

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1771459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784073600000",
    "number": "1679426514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 S WOODS MILL RD",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173406",
            "telephone_number": "314-576-2306",
            "fax_number": "314-336-6224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11550 OLIVE BLVD",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417111",
            "telephone_number": "314-576-2306",
            "fax_number": "314-336-6224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKES IMMEDIATE CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST. LUKES MEDICAL GROUP",
        "enumeration_date": "2026-02-19",
        "last_updated": "2026-07-15",
        "certification_date": "2026-07-15",
        "status": "A",
        "authorized_official_last_name": "LETT",
        "authorized_official_first_name": "TAMMY",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "636-685-7804",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2026; 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.