Organization Active NPI

Lasher Consumer Directed Services, LLC

  • Exclusive Provider Organization
  • Saint Louis, MO
National Provider Identifier
1760934905
Registry record updated Nov 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
License
251E00000X Issued in MO
Legal business name
LASHER CONSUMER DIRECTED SERVICES, LLC
Practice address
2138 Woodson Rd Ste 1
Saint Louis, MO 63114-5671
Phone
(314) 801-8650
Fax
(314) 801-8651
NPI assigned
Nov 3, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2016

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

Authorized official

Name
Sherry Clemons
Title
Owner
Phone
(314) 801-8651

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X 251E00000X MO Primary

Addresses

Primary practice location

2138 Woodson Rd Ste 1
Saint Louis, MO 63114-5671

Mailing address

2138 Woodson Rd Ste 1
Saint Louis, MO 63114-5671
Phone (314) 801-8650

Other identifiers 1

IdentifierTypeStateIssuer
814249751MedicaidMO

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478131200000",
    "number": "1760934905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2138 WOODSON RD STE 1",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631145671",
            "telephone_number": "314-801-8650",
            "fax_number": "314-801-8651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2138 WOODSON RD STE 1",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631145671",
            "telephone_number": "314-801-8650",
            "fax_number": "314-801-8651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASHER CONSUMER DIRECTED SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-03",
        "last_updated": "2016-11-03",
        "status": "A",
        "authorized_official_last_name": "CLEMONS",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-801-8651"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "MO",
            "license": "251E00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "814249751",
            "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 Nov 3, 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.