Organization Active NPI

Radiant Women'S Health, P.C.

  • Obstetrics & Gynecology Physician
  • Saint Charles, MO
National Provider Identifier
1801087481
Registry record updated Aug 7, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2005000368 Issued in MO
Legal business name
RADIANT WOMEN'S HEALTH, P.C.
Practice address
400 1St Capitol Dr
Suite 301
Saint Charles, MO 63301-2880
Phone
(636) 255-3003
Fax
(636) 925-0954
NPI assigned
Aug 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2007

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

Authorized official

Name
Dr. Valerie Kim Nelson-Mason, M.D.
Title
Director
Phone
(636) 255-3003

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 2005000368 MO Primary

Addresses

Primary practice location

400 1St Capitol Dr
Suite 301
Saint Charles, MO 63301-2880

Mailing address

400 1St Capitol Dr
Suite 301
Saint Charles, MO 63301-2880
Phone (636) 255-3003

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186444800000",
    "number": "1801087481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 1ST CAPITOL DR",
            "address_2": "SUITE 301",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012880",
            "telephone_number": "636-255-3003",
            "fax_number": "636-925-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 1ST CAPITOL DR",
            "address_2": "SUITE 301",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633012880",
            "telephone_number": "636-255-3003",
            "fax_number": "636-925-0954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT WOMEN'S HEALTH, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-07",
        "last_updated": "2007-08-07",
        "status": "A",
        "authorized_official_last_name": "NELSON-MASON",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "KIM",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "636-255-3003",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2005000368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; 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.