Active NPI
Manisha Shrestha, FNP
- Family Nurse Practitioner
- Bridgeton, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2016038183
- Practice address
- 12303 De Paul Dr
Bridgeton, MO 63044-2512 - Phone
- (314) 317-0600
- Fax
- (314) 317-0606
- NPI assigned
- Nov 9, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 2016038183 | MO | Primary |
Addresses
Primary practice location
12303 De Paul Dr
Bridgeton, MO 63044-2512
Mailing address
12101 Woodcrest Executive Dr
Suite 210
Saint Louis, MO 63141-5047
Phone (314) 317-0600
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Aco Clinical Services Inc | Current | Accepting new patients | |
| Sound Physicians of Illinois, LLC | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Health Northwest Arkansas Communities | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Family | Current | Accepting new patients |
| Southeastern Physician Services PC | Current | Accepting new patients |
Locations
3101 SE 14th St
Bentonville, AR 72712
Phone (479) 631-2100
12303 De Paul Dr
Bridgeton, MO 63044
Phone (314) 344-6360
15740 South Outer 40 Rd
Chesterfield, MO 63017
Phone (636) 735-4268
1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379
1605 Martin Springs Dr
Ste 110
Rolla, MO 65401
Phone (573) 458-6300
6420 Clayton Rd
Saint Louis, MO 63117
Phone (314) 768-8442
10 Hospital Dr
Saint Peters, MO 63376
Phone (636) 394-2522
620 S Glenstone Ave
Springfield, MO 65802
Phone (417) 829-4215
1235 E Cherokee St
Springfield, MO 65804
Phone (417) 820-2115
2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Neurology Physician
- Chesterfield, MO
- NPI 1063965093
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
-
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
Family
-
- Hospitalist Physician
- Bridgeton, MO
- NPI 1043598865
-
- Multi-Specialty Clinic/Center
- Rogers, AR
- NPI 1265490916
-
- Family Medicine Physician
- Hollister, MO
- NPI 1053350454
-
- Family Medicine Physician
- Bentonville, AR
- NPI 1447699434
-
- Endocrinology, Diabetes & Metabolism Physician
- Rogers, AR
- NPI 1770087371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478649600000",
"number": "1871035766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12101 WOODCREST EXECUTIVE DR",
"address_2": "SUITE 210",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631415047",
"telephone_number": "314-317-0600",
"fax_number": "314-317-0606"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12303 DE PAUL DR",
"city": "BRIDGETON",
"state": "MO",
"postal_code": "630442512",
"telephone_number": "314-317-0600",
"fax_number": "314-317-0606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHRESTHA",
"first_name": "MANISHA",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-09",
"last_updated": "2016-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2016038183",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bridgeton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.