KIERRA K CALICO APRN NPI 1003567215

NPI Information

  • NPI: 1003567215
  • Provider Name: KIERRA K CALICO, APRN
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 12855 N 40 DR STE 375
    SAINT LOUIS, MO
    ZIP 63141
  • Phone: (314) 567-6071

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NPI Details

Kierra K Calico, APRN is a family nurse practitioner in Saint Louis, MO with 4 years of experience. Kierra K Calico, APRN NPI is 1003567215. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12855 N 40 DR STE 375
SAINT LOUIS, MO
ZIP 63141-657
Phone: (314) 567-6071
Fax: (314) 453-9965

The NPI 1003567215 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 1/10/2022 and was last updated on 10/3/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily209028348ILLINOISNo
2363LF0000XNurse PractitionerFamily53-80842-052KANSASNo
3363LF0000XNurse PractitionerFamily2022000769MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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