Individual provider Active NPI

Lauren Finnerty, NP-C

  • Family Nurse Practitioner
  • Creve Coeur, MO
National Provider Identifier
1932618477
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2017032223 Issued in MO
Practice address
845 N New Ballas CT Ste 120
Creve Coeur, MO 63141-7169
Phone
(314) 200-0997
NPI assigned
Sep 27, 2017
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2017032223 MO Primary

Addresses

Primary practice location

845 N New Ballas CT Ste 120
Creve Coeur, MO 63141-7169

Mailing address

845 N New Ballas CT Ste 120
Creve Coeur, MO 63141-7169
Phone (314) 200-0997

Other names 1

  • Lauren Cullen Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20171214000952 MO Practitioner - Nurse Practitioner 0840558144 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2017032223MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Physicians Group LTD CurrentSince Dec 5, 2017 Accepting new patients

Locations

916 Talon Dr
#102
O Fallon, IL 62269
Phone (618) 628-8211

845 N New Ballas Ct
Ste 120
Saint Louis, MO 63141
Phone (314) 200-0997

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1932618477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 N NEW BALLAS CT STE 120",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417169",
            "telephone_number": "314-200-0997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 N NEW BALLAS CT STE 120",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417169",
            "telephone_number": "314-200-0997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINNERTY",
        "first_name": "LAUREN",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2017032223",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAUREN",
            "last_name": "CULLEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Creve Coeur, MO

Sources for this page

Verify at the official NPI Registry.