Provider Type Icon

MS. EMILY ELIZABETH MYERS AGNP NPI 1689375198


NPI Information

NPI: 1689375198
Provider Name: MS. EMILY ELIZABETH MYERS, AGNP
Classification: Nurse Practitioner - 363LG0600X
Entity Type: Individual

Specialization: Gerontology

PECOS Registration: Yes

Address:
4921 PARKVIEW PL
DIV IM GENERAL MED, STE 12B
SAINT LOUIS, MO
ZIP 63110
Phone: (314) 996-8103
Get Directions

MS. Emily Elizabeth Myers, AGNP is a gerontology nurse practitioner in Saint Louis, MO with 1 years of experience. MS. Emily Elizabeth Myers, AGNP NPI is 1689375198. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE
Graduation Year:2023

The provider's business location address is:

4921 PARKVIEW PL
DIV IM GENERAL MED, STE 12B
SAINT LOUIS, MO
ZIP 63110-032
Phone: (314) 996-8103
Fax: (314) 996-3230

The NPI 1689375198 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 3/13/2023 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
1363LG0600XNurse PractitionerGerontology2023008811MISSOURIYes

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
1420122064MEDICAIDMISSOURI

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.