AUTUMN ROQUE DNP, APRN, PMHNP-BC
NPI 1184074270
Nurse Practitioner - Psychiatric/Mental Health in Saint Louis, MO

Active since June 20, 2016
4130 LINDELL BLVD, SAINT LOUIS, MO 63108(314) 535-5600 Get Directions Write a Review

NPPES record last updated: June 20, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Autumn Roque Dnp, Aprn, Pmhnp-bc NPPES

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

AUTUMN ROQUE DNP, APRN, PMHNP-BC (NPI 1184074270) is an individual psychiatric/mental health provider in Saint Louis, Missouri, licensed in Missouri (2016019122) and active in the NPI registry since June 2016.

NPPES Registry Identity

NPI1184074270
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameAUTUMN ROQUECredential: DNP, APRN, PMHNP-BC
Location Address4130 LINDELL BLVDSaint Louis, MO 63108-2914
Mailing Address4130 Lindell BlvdSaint Louis, MO 63108-2914 · (314) 535-5600
Sole ProprietorNo
Enumeration DateJune 20, 2016
NPI 1184074270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MO · 2016019122
4130 LINDELL BLVD, Saint Louis, MO 63108

Accepted Insurance

Other Providers at the Same Location NPPES 20

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

Registered Nurse
4130 LINDELL BLVD
SAINT LOUIS, MO 63108
Social Worker (Clinical)
4130 LINDELL BLVD
SAINT LOUIS, MO 63108
Registered Nurse
4130 LINDELL BLVD
SAINT LOUIS, MO 63108
Social Worker (Clinical)
4130 LINDELL BLVD
SAINT LOUIS, MO 63108
Social Worker (Clinical)
4130 LINDELL BLVD
SAINT LOUIS, MO 63108
Registered Nurse
4130 LINDELL BLVD
SAINT LOUIS, MO 63108
Social Worker
4130 LINDELL BLVD
SAINT LOUIS, MO 63108
Counselor (Professional)
4130 LINDELL BLVD
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 Autumn Roque's NPI number?

The NPI number for Autumn Roque is 1184074270. It was assigned to this individual provider in the NPPES registry on June 20, 2016.

Where is Autumn Roque located?

Autumn Roque practices at 4130 Lindell Blvd, Saint Louis, MO 63108. The listed phone number is (314) 535-5600.

What is Autumn Roque's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Autumn Roque accept?

Health plans from Medica list Autumn Roque as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Autumn Roque was last updated on June 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.