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INTERFAITH RESIDENCE
NPI 1164235362
Internal Medicine - Infectious Disease in Saint Louis, MO

Active since January 30, 2025
1101 N JEFFERSON AVE, SAINT LOUIS, MO 63106(314) 535-1919(314) 535-0909 Get Directions Write a Review

NPPES record last updated: December 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 29, 2025, Dec 9, 2025 (2 updates tracked since 2025).

About Interfaith Residence NPPES

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

INTERFAITH RESIDENCE (NPI 1164235362), doing business as Key Clinic, is a healthcare organization registered as an infectious disease in Saint Louis, Missouri and active in the NPI registry since January 2025. The organization lists Opal Jones, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1164235362
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NameINTERFAITH RESIDENCE
Location Address1101 N JEFFERSON AVESaint Louis, MO 63106-2222
Mailing Address1101 N Jefferson AveSaint Louis, MO 63106-2222 · (314) 535-1919
Phone(314) 535-1919
Fax(314) 535-0909
Organization SubpartNo
Authorized OfficialOpal JonesPresident & Ceo · (314) 535-1919
Enumeration DateJanuary 30, 2025
Last NPPES UpdateDecember 29, 20252 updates tracked since enumeration
NPPES CertifiedDecember 29, 2025
✔ NPI 1164235362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X
1101 N JEFFERSON AVE, Saint Louis, MO 63106
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Other Names 1

Doing Business AsKey Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Interfaith Residence is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Interfaith Residence, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

James Hinrichs, M.D.
Infectious Disease
NPI 1578517967
1101 N JEFFERSON AVE UNIT B
Saint Louis, MO 63106
(314) 417-1070
✔ PECOS✔ Accepts MedicareSame address
Denise Spear, RN, WHNP-BC
Nurse Practitioner
NPI 1548411671
4000 JENNINGS STATION RD
Saint Louis, MO 63121
(314) 679-7909
✔ PECOS5.0 mi
Shanika Pruitt, FNP-BC
Nurse Practitioner
NPI 1659818904
1400 LEMAY FERRY RD
Saint Louis, MO 63125
(314) 827-6868
✔ PECOS✔ Accepts Medicare8.6 mi
Kerry Mckenzie, NURSE PRACTITIONER
Nurse Practitioner
NPI 1033898838
1 JEFFERSON BARRACKS RD
Saint Louis, MO 63125
(314) 652-4100
✔ PECOS10.0 mi
Kelly Wilkens, AGNP
Nurse Practitioner
NPI 1841660792
12700 SOUTHFORK RD STE 200
Saint Louis, MO 63128
(314) 543-5942
✔ PECOS13 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Interfaith Residence's NPI number?

The NPI number for Interfaith Residence is 1164235362. It was assigned to this organization in the NPPES registry on January 30, 2025. The provider is doing business as Key Clinic.

Where is Interfaith Residence located?

Interfaith Residence is located at 1101 N Jefferson Ave, Saint Louis, MO 63106. The listed phone number is (314) 535-1919.

What is Interfaith Residence's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Interfaith Residence enrolled in Medicare?

Yes. Interfaith Residence is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Interfaith Residence?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Interfaith Residence. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4) and Infectious Disease (1). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Interfaith Residence was last updated on December 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.