MARIA FERNANDA VILLAVICENCIO JIMENEZ MD NPI 1568089621

NPI Information

  • NPI: 1568089621
  • Provider Name: MARIA FERNANDA VILLAVICENCIO JIMENEZ, MD
  • Classification: Pediatrics - 208000000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1 CHILDRENS PL MSC 8116-0043-14
    SAINT LOUIS, MO
    ZIP 63110
  • Phone: (314) 454-2094

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NPI Details

Maria Fernanda Villavicencio Jimenez, MD is a pediatrics in Saint Louis, MO. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. Maria Fernanda Villavicencio Jimenez, MD NPI is 1568089621. 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 MSC 8116-0043-14
SAINT LOUIS, MO
ZIP 63110-002
Phone: (314) 454-2094
Fax: (314) 454-2515

The NPI 1568089621 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 7/6/2020 and was last updated on 6/19/2024.

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
1208000000XPediatrics94-10379KANSASNo
2208000000XPediatrics2024022842MISSOURIYes

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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