Samantha Louise Watts Marquard, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

2004018468 Issued in MO

Practice address

9417 S Broadway
Saint Louis, MO 63125-2009

Phone

(314) 833-4030

Fax

(314) 833-4031

NPI assigned

Apr 6, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Institute for Research and Education in Family Medicine

  • Family Medicine Physician
  • Saint Louis, MO
  • NPI 1972567923
  Medicare reassignment
• County of St Louis Division of Fiscal Management

  • Federally Qualified Health Center (FQHC)
  • Berkeley, MO
  • NPI 1184519506
  NPD (past)

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706486400000",
    "number": "1881836849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5501 DELMAR BLVD STE B560",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631123084",
            "telephone_number": "314-833-4030",
            "fax_number": "314-833-4031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9417 S BROADWAY",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631252009",
            "telephone_number": "314-833-4030",
            "fax_number": "314-833-4031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4590 S Lindbergh Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631271832",
            "country_code": "US",
            "telephone_number": "314-849-7669",
            "fax_number": "314-849-7670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARQUARD",
        "first_name": "SAMANTHA",
        "middle_name": "LOUISE WATTS",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-06",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2004018468",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dean Marolf
• Clayton Marolt, DO
• Megan Elizabeth Marolt, MD
• Thomas Douglas Marose, CRNA
• Davorka Marovic-Johnson, LPC
• Lois Royle Marquardt
• Cindy Marquette
• Ignacio Christian Marquez Correa, D.D.S.
• Rafael Alberto Marquez, LMFT
• Samuel Marquez, M.D.

• Family Nurse Practitioner in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; 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.

Verify at the official NPI Registry.