Active NPI
Washington University
- Rehabilitation Hospital
- Saint Louis, MO
National Provider Identifier
1861605271
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Hospital
- License
- 2004015125
- Legal business name
- WASHINGTON UNIVERSITY
- Practice address
- 4444 Forest Park Ave
Campus Box 8518
Saint Louis, MO 63108-2212 - Phone
- (314) 445-7757
- NPI assigned
- May 8, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Pauline Natividad Ignacio, M.D.
- Title
- Chief Resident
- Phone
- (314) 229-7944
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Hospital | 283X00000X | 2004015125 | MO | Primary |
Addresses
Primary practice location
4444 Forest Park Ave
Campus Box 8518
Saint Louis, MO 63108-2212
Mailing address
3278 January Ave Apt 2
Saint Louis, MO 63139-1743
Phone (314) 229-7944
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0438716 | Endocrine Clinical Lab / Washington University | Accreditation | Dec 22, 2027 |
National Provider Directory
National Provider DirectoryLocations
4444 Forest Park Ave
#8518
Saint Louis, MO 63108
Phone (314) 445-7757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1861605271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3278 JANUARY AVE APT 2",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631391743",
"telephone_number": "314-229-7944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4444 FOREST PARK AVE",
"address_2": "CAMPUS BOX 8518",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631082212",
"telephone_number": "314-445-7757"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WASHINGTON UNIVERSITY",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-08",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "IGNACIO",
"authorized_official_first_name": "PAULINE",
"authorized_official_middle_name": "NATIVIDAD",
"authorized_official_title_or_position": "CHIEF RESIDENT",
"authorized_official_telephone_number": "314-229-7944",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "283X00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Hospital",
"state": "MO",
"license": "2004015125",
"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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.