NPIMap

Individual provider Active NPI

Kathryn Shemwell

  • Psychiatry Physician
  • Saint Louis, MO
National Provider Identifier
1700263506
Registry record updated Sep 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2019024146 Issued in MO
Practice address
10018 Kennerly Rd
Saint Louis, MO 63128-2106
Phone
(314) 525-4429
NPI assigned
Apr 30, 2015
Last updated
Sep 16, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2019024146 MO Primary

Addresses

Primary practice location

10018 Kennerly Rd
Saint Louis, MO 63128-2106

Mailing address

2919 Salena St
Saint Louis, MO 63118-1725

Other practice location 1

2919 Salena St
Saint Louis, MO 63118-1725
Phone (314) 707-7069

Other names 1

  • Kathryn Whetsell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, AR2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191007000249 MO Practitioner - Psychiatry 0749582542 Reassigns benefits to 8 organizations
I20241230002538 AR Practitioner - Psychiatry 0749582542 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Aco Clinical Services IncGroup PAC ID 6901188572, 159 clinicians

Practice addresses (Care Compare)

10010 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-1899

10018 Kennerly Rd
Saint Louis, MO 63128-2106
Phone (314) 525-3423

15740 S Outer 40 Rd
Chesterfield, MO 63017-2004
Phone (636) 237-4200

2713 S 74TH St
Suite 302
Fort Smith, AR 72903-5155
Phone (479) 573-3723

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
800TNMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Northwest Arkansas Communities CurrentSince Nov 20, 2024 Accepting new patients
Mercy Aco Clinical Services Inc CurrentSince Apr 17, 2022 Accepting new patients
Mercy Clinic Adult Hospitalists- Jefferson, LLC CurrentSince Jul 1, 2020 Accepting new patients
Mercy Clinic Joplin LLC CurrentSince Jul 1, 2021 Accepting new patients
Mercy East Support Services, LLC CurrentSince Sep 23, 2019 Accepting new patients
Mercy Health Northwest Arkansas Communities Current Accepting new patients
St Anthonys Physician Organization Hospitalist Services, L.C. CurrentSince Jul 1, 2020 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Nov 20, 2024 Accepting new patients
St Anthonys Physician Organization Hospitalist Services, L.C. CurrentSince Jul 1, 2020 Accepting new patients
Mercy Health Northwest Arkansas Communities CurrentSince Nov 20, 2024 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Nov 20, 2024 Accepting new patients
Mercy Clinic Adult Hospitalists - St. Louis, LLC CurrentSince Jul 1, 2020 Accepting new patients
Mercy Clinic Adult Hospitalists - Washington, LLC CurrentSince Jul 1, 2020 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Nov 20, 2024 Accepting new patients
Mercy Hospital Ada, Inc CurrentSince Jul 1, 2023 Accepting new patients
Mercy Hospital Springfield Past Accepting new patients
Mercy Hospital Joplin Past Accepting new patients
Southeast Health Center of Stoddard County, LLC Past Accepting new patients
Mercy Clinic Springfield Communities PastSince Jul 1, 2023 Accepting new patients

Locations

3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100

2713 S 74th St
Ste 302
Fort Smith, AR 72903
Phone (479) 478-8555

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

2112 S 54th St
Rogers, AR 72758
Phone (479) 338-4135

2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-8000

15740 South Outer 40 Rd
Chesterfield, MO 63017
Phone (636) 735-4268

1400 US Highway 61
Crystal Cty, MO 63028
Phone (636) 933-1111

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328

10018 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-4412

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

615 S New Ballas Rd
#H
Saint Louis, MO 63141
Phone (314) 251-6075

851 E 5th St
Ste 154
Washington, MO 63090
Phone (314) 251-6663

901 E 5th St
Washington, MO 63090
Phone (636) 239-8000

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1430352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1700263506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 SALENA ST",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631181725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10018 KENNERLY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631282106",
            "telephone_number": "314-525-4429"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2919 Salena St",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631181725",
            "country_code": "US",
            "telephone_number": "314-707-7069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHEMWELL",
        "first_name": "KATHRYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-30",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "2019024146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "WHETSELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.