Individual provider Active NPI

Rasha Issou

  • Family Nurse Practitioner
  • Ballwin, MO
National Provider Identifier
1942000799
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2025008484 Issued in MO
Practice address
15 Remington Place CT
Ballwin, MO 63021-6369
Phone
(941) 222-0529
NPI assigned
Mar 18, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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 2025008484 MO Primary

Addresses

Primary practice location

15 Remington Place CT
Ballwin, MO 63021-6369

Mailing address

15 Remington Place CT
Ballwin, MO 63021-6369

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
I20250508001625 MO Practitioner - Nurse Practitioner 1052838406 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Global Open Wound Care Services LLCGroup PAC ID 3375999386, 7 clinicians

Practice addresses (Care Compare)

Kansas City, MO 64131
Phone (816) 931-3400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2025008484MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Global Open Wound Care Services LLC Family CurrentSince Apr 1, 2025 Accepting new patients
Specialized Wound Management LLC CurrentSince May 15, 2025 Accepting new patients

Locations

14805 North Outer 40 Rd
Chesterfield, MO 63017
Phone (636) 536-0183

14805 North Outer 40 Rd
Ste 320
Chesterfield, MO 63017
Phone (636) 536-0183

800 E 101st Ter
Ste 350
Kansas City, MO 64131
Phone (816) 327-2336

521 W Southlake Blvd
Ste 150
Southlake, TX 76092
Phone (817) 328-3000

250 Miron Dr
Southlake, TX 76092
Phone (817) 328-3000

Organizations & group practices 4

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": "1742256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1942000799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 REMINGTON PLACE CT",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630216369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 REMINGTON PLACE CT",
            "city": "BALLWIN",
            "state": "MO",
            "postal_code": "630216369",
            "telephone_number": "941-222-0529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISSOU",
        "first_name": "RASHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2025008484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballwin, MO

Sources for this page

Verify at the official NPI Registry.