Active NPI
Theresa Lee McQuaide, ANP
- Adult Health Nurse Practitioner
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 117389
- Practice address
- 13065 Old Tesson Ferry Rd
Saint Louis, MO 63128-3441 - Phone
- (314) 543-5222
- NPI assigned
- Aug 30, 2006
- Last updated
- Nov 27, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | RN117389 | MO | |
| General Practice Registered Nurse | 163WG0000X | 041-331941 | IL | |
| Clinical Nurse Specialist | 364S00000X | 209-004439 | IL | |
| Adult Health Nurse Practitioner | 363LA2200X | 209-005264 | IL | |
| Adult Health Nurse Practitioner | 363LA2200X | 117389 | MO | Primary |
Addresses
Primary practice location
13065 Old Tesson Ferry Rd
Saint Louis, MO 63128-3441
Mailing address
13065 Old Tesson Ferry Rd
Saint Louis, MO 63128-3441
Phone (314) 543-5222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041-331941 | IL | MD | General Practice Registered Nurse |
| RN117389 | MO | MD | General Practice Registered Nurse |
| 209-005264 | IL | MD | Adult Health Nurse Practitioner |
| 117389 | MO | MD | Adult Health Nurse Practitioner |
| 209-004439 | IL | MD | Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Multispecialty Group Inc. | Adult Health | Current | Accepting new patients |
| Washington University | Past | Accepting new patients |
Locations
2900 Frank Scott Pkwy W
Ste 914
Belleville, IL 62223
Phone (618) 277-1413
1167 Fortune Blvd
Shiloh, IL 62269
Phone (618) 207-6900
5034 Griffin Rd
Saint Louis, MO 63128
Phone (314) 843-7333
9930 Watson Rd
Saint Louis, MO 63126
Phone (314) 984-8827
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Esse Health
- Internal Medicine Physician
- Saint Louis, MO
- NPI 1972559532
Adult Health
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1194765685
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385510400000",
"number": "1770692048",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13065 OLD TESSON FERRY RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631283441",
"telephone_number": "314-543-5222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13065 OLD TESSON FERRY RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631283441",
"telephone_number": "314-543-5222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCQUAIDE",
"first_name": "THERESA",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2013-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "MO",
"license": "RN117389",
"primary": false
},
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "IL",
"license": "041-331941",
"primary": false
},
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "IL",
"license": "209-004439",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "IL",
"license": "209-005264",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MO",
"license": "117389",
"primary": true
}
],
"identifiers": [],
"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 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.