Active NPI
Barbara McDowell, LLC
- Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
- Lake St Louis, MO
National Provider Identifier
1992026538
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist
- License
- RN052085
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Geropsychiatric Psychiatric/Mental Health Clinical Nurse Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4246752221 | Medicaid | MO | |
| 890000994 | Other | FEDERAL MEDICARE | |
| 156059 | Other | ANTHEM BLUE CROSS AND BLUE SHIELD |
National Provider Directory
National Provider DirectoryLocations
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.