Individual provider Active NPI

Jane E Hoekelman, MSN RN CPNP

  • Pediatric Nurse Practitioner
  • Creve Coeur, MO
National Provider Identifier
1821189044
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
075238 Issued in MO
Practice address
11630 Studt Ave
Ste 200
Creve Coeur, MO 63141-7016
Phone
(314) 567-7337
Fax
(314) 851-4476
NPI assigned
Sep 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 075238 MO Primary

Addresses

Primary practice location

11630 Studt Ave
Ste 200
Creve Coeur, MO 63141-7016

Mailing address

19 Ridgemoor Dr
Clayton, MO 63105-3037

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)
Not enrolled
Credentials
Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
075238MOMDPediatric Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: jane.hoekelman.p1@direct.essehealth.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1821189044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 RIDGEMOOR DR",
            "city": "CLAYTON",
            "state": "MO",
            "postal_code": "631053037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11630 STUDT AVE",
            "address_2": "STE 200",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417016",
            "telephone_number": "314-567-7337",
            "fax_number": "314-851-4476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOEKELMAN",
        "first_name": "JANE",
        "middle_name": "E",
        "credential": "MSN RN CPNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MO",
            "license": "075238",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.