Active NPI
Clayton Sleep Institute, LLC
- Physiological Laboratory
- Saint Louis, MO
National Provider Identifier
1750475588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physiological Laboratory
- Legal business name
- CLAYTON SLEEP INSTITUTE, LLC
- Practice address
- 11188 Tesson Ferry Rd Ste 100
Saint Louis, MO 63123-6962 - Phone
- (314) 645-5855
- Fax
- (314) 645-6446
- NPI assigned
- Oct 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Lynda Newman
- Title
- Director of Patient Care
- Phone
- (314) 645-5855
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Disorder Diagnostic Clinic/Center | 261QS1200X | |||
| Physiological Laboratory | 293D00000X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
Primary practice location
11188 Tesson Ferry Rd Ste 100
Saint Louis, MO 63123-6962
Mailing address
PO Box 797024
Saint Louis, MO 63179-7000
Phone (314) 645-5855
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 714932100 | Medicaid | MO | |
| P00118622 | Other | MO | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070430000404 | MO | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 0941303614 | Practice locations: Saint Louis, MO |
| O20170125001503 | MO | Part B Supplier - Independent Diagnostic Testing Facility (Idtf) | 0941303614 | Practice locations: Farmington, MO |
National Provider Directory
National Provider DirectoryLocations
1135 E Karsch Blvd
Farmington, MO 63640
Phone (573) 760-1501
2531 S Big Bend Blvd
Ste 2
Saint Louis, MO 63143
Phone (314) 645-5855
2705 Dougherty Ferry Rd
Ste 104
Saint Louis, MO 63122
Phone (314) 394-3319
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Saint Louis, MO
- NPI 1003895236
-
- Physical Therapist
- Saint Louis, MO
- NPI 1720694607
-
- Pulmonary Disease Physician
- Saint Louis, MO
- NPI 1043290588
-
- Orthopedic Physical Therapist
- Saint Louis, MO
- NPI 1326184847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1710201600000",
"number": "1750475588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 797024",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631797000",
"telephone_number": "314-645-5855",
"fax_number": "314-645-6446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11188 TESSON FERRY RD STE 100",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631236962",
"telephone_number": "314-645-5855",
"fax_number": "314-645-6446"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CLAYTON SLEEP INSTITUTE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-03",
"last_updated": "2024-03-12",
"certification_date": "2024-03-12",
"status": "A",
"authorized_official_last_name": "NEWMAN",
"authorized_official_first_name": "LYNDA",
"authorized_official_title_or_position": "DIRECTOR OF PATIENT CARE",
"authorized_official_telephone_number": "314-645-5855",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "261QS1200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Sleep Disorder Diagnostic",
"state": null,
"license": null,
"primary": false
},
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "714932100",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00118622",
"state": "MO"
}
],
"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 Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.