MS. ANGELA KAY ROETHEMEYER ANP NPI 1164846648

NPI Information

NPI: 1164846648
Provider Name: MS. ANGELA KAY ROETHEMEYER, ANP
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

Organization: WASHINGTON UNIVERSITY

PECOS Registration: Yes

Address:
114 N TAYLOR AVE
SAINT LOUIS, MO
ZIP 63108
Phone: (314) 534-8600
Get Directions

MS. Angela Kay Roethemeyer, ANP is an adult health nurse practitioner in Saint Louis, MO with 13 years of experience. MS. Angela Kay Roethemeyer, ANP NPI is 1164846648. 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:

114 N TAYLOR AVE
SAINT LOUIS, MO
ZIP 63108-102
Phone: (314) 534-8600
Fax: (314) 652-8138

The NPI 1164846648 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 2/5/2014 and was last updated on 11/29/2021.

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
1	363LA2200X	Nurse Practitioner	Adult Health	2012025987	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	420014221	MEDICAID	MISSOURI

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: 11/14/2023

NPI Synchronization or Removal

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