Bobie Calicutt

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

T208137023 Issued in MO

Practice address

2055 Craigshire Rd Ste 420F
Saint Louis, MO 63146-4043

Phone

(816) 400-4276

Fax

(314) 887-7004

NPI assigned

Oct 27, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Beyond Nursing Care LLC

  • Community Health Worker
  • Saint Louis, MO
  • NPI 1477228609
  NPD Authorized official

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1730631508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 CRAIGSHIRE RD STE 420F",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464043",
            "telephone_number": "816-400-4276",
            "fax_number": "314-887-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 CRAIGSHIRE RD STE 420F",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631464043",
            "telephone_number": "816-400-4276",
            "fax_number": "314-887-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALICUTT",
        "first_name": "BOBIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-27",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MO",
            "license": null,
            "primary": false
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "MO",
            "license": "T208137023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1730631508",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cecelia Lela Calhoun, MD
• Joshua Wesley Calhoun, M.D.
• Patricia Nonnie Calhoun, MS, RDN, LD
• Ayse Ece Cali Daylan, MD
• Kierra K Calico, APRN
• Calista E. Melkersman
• Tyler Calkins, MD
• William B Call, PHARM.D.
• Carl Keith Callahan, CNP
• Christopher Patrick Callahan, MD

• Community Health Worker in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Community Health Worker in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2021; 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.