Organization Active NPI

Barbara McDowell, LLC

  • Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
  • Lake St Louis, MO
National Provider Identifier
1992026538
Registry record updated Jul 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geropsychiatric Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0813X
License
RN052085 Issued in MO
Legal business name
BARBARA MCDOWELL, LLC
Practice address
6290 Ronald Reagan Dr
Suite 222
Lake St Louis, MO 63367-2667
Phone
(314) 680-1177
Fax
(636) 230-0421
NPI assigned
Jun 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2014

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

Authorized official

Name
Barbara J McDowell
Title
Provider
Phone
(314) 680-1177

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geropsychiatric Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 364SP0813X RN052085 MO Primary

Addresses

Primary practice location

6290 Ronald Reagan Dr
Suite 222
Lake St Louis, MO 63367-2667

Mailing address

6290 Ronald Reagan Dr
Suite 222
Lake St Louis, MO 63367-2667
Phone (314) 680-1177

Other identifiers 3

IdentifierTypeStateIssuer
4246752221MedicaidMO
890000994OtherFEDERAL MEDICARE
156059OtherANTHEM BLUE CROSS AND BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

121 Civic Center Dr
Ste 22
Lake St Louis, MO 63367

6290 Ronald Reagan Dr
Ste 222
Lake St Louis, MO 63367
Phone (314) 680-1177

NPI Registry JSON

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406160000000",
    "number": "1992026538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6290 RONALD REAGAN DR",
            "address_2": "SUITE 222",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633672667",
            "telephone_number": "314-680-1177",
            "fax_number": "636-230-0421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6290 RONALD REAGAN DR",
            "address_2": "SUITE 222",
            "city": "LAKE ST LOUIS",
            "state": "MO",
            "postal_code": "633672667",
            "telephone_number": "314-680-1177",
            "fax_number": "636-230-0421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBARA MCDOWELL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-17",
        "last_updated": "2014-07-24",
        "status": "A",
        "authorized_official_last_name": "MCDOWELL",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "314-680-1177"
    },
    "taxonomies": [
        {
            "code": "364SP0813X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Geropsychiatric",
            "state": "MO",
            "license": "RN052085",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4246752221",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL MEDICARE",
            "identifier": "890000994",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS AND BLUE SHIELD",
            "identifier": "156059",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake St Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2014; 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.