Active NPI
Karen S Vitale, RN, CS, ANP
- Adult Health Nurse Practitioner
- Saint Louis, MO
National Provider Identifier
1922087030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 140041
- Practice address
- 1031 Bellevue Ave
Suite 300
Saint Louis, MO 63117-1818 - Phone
- (314) 644-6300
- Fax
- (314) 644-2503
- NPI assigned
- Jan 17, 2006
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 140041 | MO | Primary |
Addresses
Primary practice location
1031 Bellevue Ave
Suite 300
Saint Louis, MO 63117-1818
Mailing address
10777 Sunset Office Dr
Suite 310
Saint Louis, MO 63127-1019
Phone (314) 822-5900
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)
- Enrolled
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 140041 | MO | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SSM Medical Group | Past | Accepting new patients | |
| SSM Medical Group | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Fenton, MO
- NPI 1275781288
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1316953656
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225929600000",
"number": "1922087030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10777 SUNSET OFFICE DR",
"address_2": "SUITE 310",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631271019",
"telephone_number": "314-822-5900",
"fax_number": "314-822-5919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1031 BELLEVUE AVE",
"address_2": "SUITE 300",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631171818",
"telephone_number": "314-644-6300",
"fax_number": "314-644-2503"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VITALE",
"first_name": "KAREN",
"middle_name": "S",
"name_prefix": "Mrs.",
"credential": "RN, CS, ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-17",
"last_updated": "2008-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MO",
"license": "140041",
"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 Nov 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.