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CARISSA SHANTELL CARSON
NPI 1578075313
Clinic/Center - Birthing in Saint Louis, MO

Active since November 02, 2017
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141(314) 251-6000 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 17, 2018, Nov 2, 2017 (2 updates tracked since 2017).

About Carissa Shantell Carson NPPES

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

CARISSA SHANTELL CARSON (NPI 1578075313) is an individual birthing provider in Saint Louis, Missouri and active in the NPI registry since November 2017. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1578075313
Entity TypeIndividualFemale
Primary Taxonomy261QB0400X
Provider Legal NameCARISSA SHANTELL CARSON
Location Address615 S NEW BALLAS RDSaint Louis, MO 63141-8221
Mailing Address3632 Watson Rd Apt ASaint Louis, MO 63109-1232 · (314) 374-2290
Phone(314) 251-6000
Sole ProprietorYes
Enumeration DateNovember 2, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1578075313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · BirthingAmbulatory Health Care Facilities
Taxonomy Code261QB0400X
Definition
A freestanding birth center is a health facility other than a hospital where childbirth is planned to occur away from the pregnant woman's residence, and that provides prenatal, labor and delivery, and postpartum care, as well as other ambulatory services for women and newborns.
Also ListedLactation Consultant, Non-RNTaxonomy 174N00000X
Also ListedMidwife, LayTaxonomy 175M00000X
Also ListedClinic/Center · Family Planning, Non-SurgicalTaxonomy 261QF0050X
615 S NEW BALLAS RD, Saint Louis, MO 63141
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Secondary Practice Locations 3

Location 16420 Clayton RdRichmond Heights, MO 63117-1811 · Phone (314) 768-8000
Location 23015 N Ballas RdSaint Louis, MO 63131-2329 · Phone (314) 837-7470
Location 33632 Watson Rd Apt ASaint Louis, MO 63109-1232 · Phone (314) 374-2290

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.

MRS. PATRICIA ANN RICE APN
Nurse Practitioner (Family)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6339
MARY BETH WALKER FNP
Nurse Practitioner (Family)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6000
LOVEPREET SINGH RANDHAWA MD
Internal Medicine
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6339
DR. CONNOR ROBERT REIS DO
Internal Medicine
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6930
MR. SHEBY THOMAS AA-S
Anesthesiologist Assistant
615 S NEW BALLAS RD, DEPT OF ANESTHESIOLOGY
SAINT LOUIS, MO 63141
St. Louis County (636) 386-9224
JOSE L OLIVER SEGARRA
Dentist (General Practice)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6382
CAREN BIRKENKAMP PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6000
ANAS M HASIC MD
Internal Medicine
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 509-5305

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 Carissa Carson's NPI number?

The NPI number for Carissa Carson is 1578075313. It was assigned to this individual provider in the NPPES registry on November 2, 2017.

Where is Carissa Carson located?

Carissa Carson practices at 615 S New Ballas Rd, Saint Louis, MO 63141. The listed phone number is (314) 251-6000.

What is Carissa Carson's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Birthing, with taxonomy code 261QB0400X.

When was this NPI record last updated?

The NPPES record for Carissa Carson was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.