MS. SUTIRA PIYAJESSADAKUL PNP NPI 1275203721

NPI Information

  • NPI: 1275203721
  • Provider Name: MS. SUTIRA PIYAJESSADAKUL, PNP
  • Classification: Nurse Practitioner - 363LP0200X
  • Specialization: Pediatrics
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1 CHILDRENS PL
    DIV PED ACADEMICS, STE 2D
    SAINT LOUIS, MO
    ZIP 63110
  • Phone: (314) 454-6300

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NPI Details

MS. Sutira Piyajessadakul, PNP is a pediatrics nurse practitioner in Saint Louis, MO with 10 years of experience. MS. Sutira Piyajessadakul, PNP NPI is 1275203721. 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:

1 CHILDRENS PL
DIV PED ACADEMICS, STE 2D
SAINT LOUIS, MO
ZIP 63110-002
Phone: (314) 454-6300
Fax: (833) 969-0131

The NPI 1275203721 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 9/16/2021 and was last updated on 4/25/2024.

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
1363LP0200XNurse PractitionerPediatrics2021017407MISSOURIYes

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
1420101821MEDICAIDMISSOURI

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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