INTEGRATED CARE PROFESSIONALS OF MISSOURI, LLC
NPI 1144860875
Nurse Practitioner in Saint Louis, MO

Active since January 10, 2020
4625 LINDELL BLVD STE 214, SAINT LOUIS, MO 63108(601) 258-7154 Get Directions Write a Review

NPPES record last updated: January 10, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Integrated Care Professionals Of Missouri, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INTEGRATED CARE PROFESSIONALS OF MISSOURI, LLC (NPI 1144860875) is a healthcare organization registered as a nurse practitioner in Saint Louis, Missouri and active in the NPI registry since January 2020. The organization lists Rodney Thomason, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1144860875
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameINTEGRATED CARE PROFESSIONALS OF MISSOURI, LLC
Location Address4625 LINDELL BLVD STE 214Saint Louis, MO 63108-3725
Mailing AddressPo Box 3457Little Rock, AR 72203-3457
Organization SubpartNo
Authorized OfficialRodney ThomasonAuthorized Official · (501) 406-6180
Enumeration DateJanuary 10, 2020
NPI 1144860875 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

4625 LINDELL BLVD STE 214, Saint Louis, MO 63108

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Home Health
4625 LINDELL BLVD STE 214
SAINT LOUIS, MO 63108

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Integrated Care Professionals Of Missouri, LLC's NPI number?

The NPI number for Integrated Care Professionals Of Missouri, LLC is 1144860875. It was assigned to this organization in the NPPES registry on January 10, 2020.

Where is Integrated Care Professionals Of Missouri, LLC located?

Integrated Care Professionals Of Missouri, LLC is located at 4625 Lindell Blvd Ste 214, Saint Louis, MO 63108. The listed phone number is (601) 258-7154.

What is Integrated Care Professionals Of Missouri, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Integrated Care Professionals Of Missouri, LLC was last updated on January 10, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.