Active NPI
Anna M Sides, RN
- Registered Nurse
- Weldon Spring, MO
National Provider Identifier
1922734995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 146159
- Practice address
- 600 Breeze Park Dr
Weldon Spring, MO 63304-9139 - Phone
- (314) 705-4216
- Fax
- (636) 720-1169
- NPI assigned
- Aug 1, 2022
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 146159 | MO | Primary |
Addresses
Primary practice location
600 Breeze Park Dr
Weldon Spring, MO 63304-9139
Mailing address
600 Breeze Park Dr
Weldon Spring, MO 63304-9139
Phone (314) 705-4216
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 146159 | MO | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1659312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1659312000000",
"number": "1922734995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 BREEZE PARK DR",
"city": "WELDON SPRING",
"state": "MO",
"postal_code": "633049139",
"telephone_number": "314-705-4216",
"fax_number": "636-720-1169"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 BREEZE PARK DR",
"city": "WELDON SPRING",
"state": "MO",
"postal_code": "633049139",
"telephone_number": "314-705-4216",
"fax_number": "636-720-1169"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIDES",
"first_name": "ANNA",
"middle_name": "M",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-01",
"last_updated": "2022-08-01",
"certification_date": "2022-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "146159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Weldon Spring, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.