Individual provider Active NPI

Meghan Crismon Bezaire, FNP

  • Family Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1952828584
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2022033501 Issued in MO
Practice address
1020 N Mason Rd
Div Surg CT Adult Cardio, Ste 100
Saint Louis, MO 63141-6666
Phone
(314) 362-7260
Fax
(314) 747-0917
NPI assigned
Aug 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 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 2022033501 MO Primary

Addresses

Primary practice location

1020 N Mason Rd
Div Surg CT Adult Cardio, Ste 100
Saint Louis, MO 63141-6666

Mailing address

660 S Euclid Ave
MSC 8234-05-02
Saint Louis, MO 63110-1010
Phone (314) 362-7260

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

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

LicenseStateTypeSpecialty
2022033501MOMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: mbezaire53240@direct.rush.rush-health.com

NPI Registry JSON

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

{
    "created_epoch": "1503532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1952828584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S EUCLID AVE",
            "address_2": "MSC 8234-05-02",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101010",
            "telephone_number": "314-362-7260",
            "fax_number": "314-362-6288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 N MASON RD",
            "address_2": "DIV SURG CT ADULT CARDIO, STE 100",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416666",
            "telephone_number": "314-362-7260",
            "fax_number": "314-747-0917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BEZAIRE",
        "first_name": "MEGHAN",
        "middle_name": "CRISMON",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-24",
        "last_updated": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2022033501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "1020 N Mason Rd",
            "address_2": "Div Surg CT Adult Cardio, Ste 100",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631416666",
            "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 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.