Joanne L Thanavaro, ANP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

068133 Issued in MO

Practice address

114 N Taylor Ave
Saint Louis, MO 63108-2102

Phone

(314) 534-8600

Fax

(314) 652-8138

NPI assigned

Sep 7, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1740475334",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 N TAYLOR AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082102",
            "telephone_number": "314-534-8600",
            "fax_number": "314-652-8138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 N TAYLOR AVE",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631082102",
            "telephone_number": "314-534-8600",
            "fax_number": "314-652-8138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THANAVARO",
        "first_name": "JOANNE",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-07",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "068133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740475334",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christopher Scott Thaller, PT, DPT
• Kathleen K Thames
• Chelsea Ann Thampy, MD
• K. George Thampy, M.D.
• Chatsuda Thamrongsak, MD
• Samer Thanavaro, MD
• Tracy Dawn Thangam, ACNP
• Sunitha Thanjavuru, MD
• Rajen L Thanki
• Arpana Thapa

• Adult Health Nurse Practitioner in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Adult Health Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2016; 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.