NPI 1457775819 · live from the CMS NPI Registry
Casey Caddell, CRNP
Nurse Practitioner, Pediatrics in Saint Louis, MO. National Provider Identifier 1457775819, active.
NPI record
| NPI | 1457775819 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Nurse Practitioner, Pediatrics 363LP0200X |
| Practice location | 1 Childrens Pl, Saint Louis, MO 63110 |
| Practice phone | 314-454-4684 |
| Enumerated | February 5, 2014 |
| Last updated | August 1, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner, Pediatrics | 363LP0200X | RN150105 (GA) |
| Nurse Practitioner, Pediatrics primary | 363LP0200X | 2022037507 (MO) |
| Nurse Practitioner, Pediatrics | 363LP0200X | 2021019303 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.