Active NPI
Jennifer Michelle McElfresh, ANP
- Nurse Practitioner
- Saint Louis, MO
National Provider Identifier
1689804833
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2005023515
- Practice address
- 4533 Clayton Ave
Saint Louis, MO 63110-1501 - Phone
- (314) 747-6417
- Fax
- (314) 747-6710
- NPI assigned
- Jul 22, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2005023515 | MO | Primary |
Addresses
Primary practice location
4533 Clayton Ave
Saint Louis, MO 63110-1501
Mailing address
510 Country Chase Dr
C B 8219
Lake St Louis, MO 63367-5848
Phone (314) 922-6121
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484784000000",
"number": "1689804833",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 COUNTRY CHASE DR",
"address_2": "C B 8219",
"city": "LAKE ST LOUIS",
"state": "MO",
"postal_code": "633675848",
"telephone_number": "314-922-6121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4533 CLAYTON AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101501",
"telephone_number": "314-747-6417",
"fax_number": "314-747-6710"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCELFRESH",
"first_name": "JENNIFER",
"middle_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-07-22",
"last_updated": "2017-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MO",
"license": "2005023515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jan 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.