Individual provider Active NPI

Matthew P Lindquist, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • St. Louis, MO
National Provider Identifier
1710969159
Registry record updated Feb 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
146028 Issued in MO
Practice address
5000 Cedar Plaza Parkway
Suite 350
St. Louis, MO 63128
Phone
(314) 843-4333
Fax
(314) 843-4856
NPI assigned
Nov 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 146028 MO
Nurse Practitioner 363L00000X 041238461 IL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 146028 MO Primary

Addresses

Primary practice location

5000 Cedar Plaza Parkway
Suite 350
St. Louis, MO 63128

Mailing address

5000 Cedar Plaza Parkway
Suite 350
St. Louis, MO 63128
Phone (314) 843-4333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Specialist, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
041238461ILMDNurse Practitioner
146028MOMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Serenity Health LLC CurrentSince Oct 1, 2022 Accepting new patients
Mid-America Psychiatric Consultants, LLC PastSince Jun 30, 2000 Accepting new patients
Simran Behavioral Health Past Accepting new patients
St. Louis Internal Medicine Inc PastSince Oct 1, 2022 Accepting new patients
Kirpa LLC Past Accepting new patients

Locations

5000 Cedar Plaza Pkwy
Ste 350
Saint Louis, MO 63128
Phone (314) 843-4333

4905 Mexico Rd
Ste 400
Saint Peters, MO 63376
Phone (314) 860-9979

5000 Cedar Plaza Pkwy
Ste 300
Sappington, MO 63128
Phone (314) 647-9797

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297036800000",
    "number": "1710969159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 CEDAR PLAZA PARKWAY",
            "address_2": "SUITE 350",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63128",
            "telephone_number": "314-843-4333",
            "fax_number": "314-843-4856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 CEDAR PLAZA PARKWAY",
            "address_2": "SUITE 350",
            "city": "ST. LOUIS",
            "state": "MO",
            "postal_code": "63128",
            "telephone_number": "314-843-4333",
            "fax_number": "314-843-4856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINDQUIST",
        "first_name": "MATTHEW",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2011-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "146028",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "041238461",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "146028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St. Louis, MO

Sources for this page

Verify at the official NPI Registry.