Active NPI
Jamie Wurth, F.N.P.
- Family Nurse Practitioner
- Saint Louis, MO
National Provider Identifier
1932485794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2011032982
- Practice address
- 615 S New Ballas Rd
Dept. of Anesthesiology
Saint Louis, MO 63141-8221 - Phone
- (314) 251-4687
- Fax
- (314) 251-4241
- NPI assigned
- Oct 25, 2011
- Last updated
- Apr 26, 2012
- 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 | 2011032982 | MO | Primary |
Addresses
Primary practice location
615 S New Ballas Rd
Dept. of Anesthesiology
Saint Louis, MO 63141-8221
Mailing address
339 Consort Dr
Ballwin, MO 63011-4439
Phone (636) 386-9224
Other names 1
- Miss Jamie Benhardt
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2011032982 | MO | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335398400000",
"number": "1932485794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "339 CONSORT DR",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630114439",
"telephone_number": "636-386-9224",
"fax_number": "636-386-7679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "615 S NEW BALLAS RD",
"address_2": "DEPT. OF ANESTHESIOLOGY",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631418221",
"telephone_number": "314-251-4687",
"fax_number": "314-251-4241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WURTH",
"first_name": "JAMIE",
"name_prefix": "Mrs.",
"credential": "F.N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-10-25",
"last_updated": "2012-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2011032982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAMIE",
"last_name": "BENHARDT",
"prefix": "MISS",
"credential": "F.N.P.",
"code": "1",
"type": "Former Name"
}
]
}
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 Apr 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.