Active NPI
Lakeisha Perry, AVN
- Clinical Nurse Specialist
- Saint Louis, MO
National Provider Identifier
1932742822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Nurse Specialist
- License
- 2019028291
- Practice address
- 1851 Arrowpoint Dr
Saint Louis, MO 63138-1515 - Phone
- (314) 308-5219
- NPI assigned
- Oct 23, 2019
- 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 |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | 2019028291 | MO | Primary |
Addresses
Primary practice location
1851 Arrowpoint Dr
Saint Louis, MO 63138-1515
Mailing address
5843 Eagle Valley Dr
Saint Louis, MO 63136-1148
Phone (314) 308-5219
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 420077265 | Medicaid | MO | |
| 830077066 | Medicaid | MO |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | emomed | Health Information Exchange (HIE) | Eduhealth Personal Care services |
| CONNECT URL | emomed | Health Information Exchange (HIE) | D&N services unlimited |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019028291 | MO | MD | Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D&N Services Unlimited | Home Health | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701043200000",
"number": "1932742822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5843 EAGLE VALLEY DR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631361148",
"telephone_number": "314-308-5219"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1851 ARROWPOINT DR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631381515",
"telephone_number": "314-308-5219"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "LAKEISHA",
"credential": "AVN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-23",
"last_updated": "2023-11-27",
"certification_date": "2020-04-13",
"status": "A"
},
"taxonomies": [
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "MO",
"license": "2019028291",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "420077265",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "830077066",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "emomed",
"affiliation": "Y",
"affiliationName": "Eduhealth Personal Care services",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1851 Arrowpoint Dr",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631381515",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "emomed",
"affiliation": "Y",
"affiliationName": "D&N services unlimited",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1851 Arrowpoint Dr",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631381515",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.