Individual provider Active NPI

Loreta Shahinaj, NP

  • Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1952816449
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2017042156 Issued in MO
Practice address
13100 Manchester Rd Ste 70
Saint Louis, MO 63131-1703
Phone
(314) 492-2323
Fax
(314) 892-4828
NPI assigned
Dec 6, 2017
Last updated
May 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2017042156 MO Primary

Addresses

Primary practice location

13100 Manchester Rd Ste 70
Saint Louis, MO 63131-1703

Mailing address

12700 Southfork Rd Ste 270
Saint Louis, MO 63128-3201
Phone (314) 892-6565

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
I20180117002464 MO Practitioner - Nurse Practitioner 6800155979 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West County Rheumatology LLCGroup PAC ID 7719232933, 6 clinicians

Practice addresses (Care Compare)

13100 Manchester Rd
Suite 70
Saint Louis, MO 63131-1703
Phone (314) 983-9898

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West County Rheumatology, LLC CurrentSince May 1, 2023 Accepting new patients
American Arthritis & Rheumatology Associates - Mo LLC Past Accepting new patients

Locations

13100 Manchester Rd
Saint Louis, MO 63131

13100 Manchester Rd
Ste 70
Saint Louis, MO 63131
Phone (314) 492-2323

13100 Manchester Rd
Ste 85
Saint Louis, MO 63131
Phone (314) 983-9898

Organizations & group practices 2

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1512518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1952816449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12700 SOUTHFORK RD STE 270",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283201",
            "telephone_number": "314-892-6565",
            "fax_number": "314-892-4828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13100 MANCHESTER RD STE 70",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311703",
            "telephone_number": "314-492-2323",
            "fax_number": "314-892-4828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHINAJ",
        "first_name": "LORETA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-06",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2017042156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.