Organization Active NPI

St.Louis Pediatric Practitioners,Inc.

  • Pediatrics Physician
  • Saint Louis, MO
National Provider Identifier
1811028608
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
ST.LOUIS PEDIATRIC PRACTITIONERS,INC.
Practice address
3737 N Kingshighway Blvd
Suite 210
Saint Louis, MO 63115-1736
Phone
(314) 261-5250
Fax
(314) 261-4567
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Alison Carole Nash, MD
Title
President
Phone
(314) 261-5250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

3737 N Kingshighway Blvd
Suite 210
Saint Louis, MO 63115-1736

Mailing address

3737 N Kingshighway Blvd
Suite 210
Saint Louis, MO 63115-1736
Phone (314) 261-5250

National Provider Directory

National Provider Directory

Locations

3737 N Kingshighway Blvd
Ste 210
Saint Louis, MO 63115
Phone (314) 261-5250

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1811028608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 N KINGSHIGHWAY BLVD",
            "address_2": "SUITE 210",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631151736",
            "telephone_number": "314-261-5250",
            "fax_number": "314-261-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 N KINGSHIGHWAY BLVD",
            "address_2": "SUITE 210",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631151736",
            "telephone_number": "314-261-5250",
            "fax_number": "314-261-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST.LOUIS PEDIATRIC PRACTITIONERS,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NASH",
        "authorized_official_first_name": "ALISON",
        "authorized_official_middle_name": "CAROLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-261-5250",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "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 Aug 22, 2020; 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.