Individual provider Active NPI

Kara Laurice Kieffer, NP-C

  • Primary Care Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1972055572
Registry record updated Oct 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
AG1016149 Issued in MO
Practice address
4921 Parkview PL
4TH Floor Shoenberg
Saint Louis, MO 63110-1032
Phone
(314) 747-7796
Fax
(314) 286-0749
NPI assigned
Oct 30, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X AG1016149 MO Primary
Gerontology Clinical Nurse Specialist 364SG0600X AG1016149 MO

Addresses

Primary practice location

4921 Parkview PL
4TH Floor Shoenberg
Saint Louis, MO 63110-1032

Mailing address

4921 Parkview PL
4TH Floor Shoenberg
Saint Louis, MO 63110-1032
Phone (314) 747-7796

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
I20190102001861 MO Order and Referring Only - Nurse Practitioner 2567707086

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AG1016149MOMDGerontology Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1477785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477785600000",
    "number": "1972055572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4921 PARKVIEW PL",
            "address_2": "4TH FLOOR SHOENBERG",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101032",
            "telephone_number": "314-747-7796",
            "fax_number": "314-286-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4921 PARKVIEW PL",
            "address_2": "4TH FLOOR SHOENBERG",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101032",
            "telephone_number": "314-747-7796",
            "fax_number": "314-286-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIEFFER",
        "first_name": "KARA",
        "middle_name": "LAURICE",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-30",
        "last_updated": "2016-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MO",
            "license": "AG1016149",
            "primary": true
        },
        {
            "code": "364SG0600X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Gerontology",
            "state": "MO",
            "license": "AG1016149",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.