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INTENTIONAL LIVING PRIMARY HEALTH CARE, LLC
NPI 1790306421
Nurse Practitioner - Family in Saint Louis, MO

Active since May 05, 2020
1120 S 6TH ST STE 110, SAINT LOUIS, MO 63104(314) 203-2627(314) 261-9469 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Mar 16, 2026, May 5, 2020 (2 updates tracked since 2020).

About Intentional Living Primary Health Care, Llc NPPES

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

INTENTIONAL LIVING PRIMARY HEALTH CARE, LLC (NPI 1790306421) is a healthcare organization registered as a family in Saint Louis, Missouri and active in the NPI registry since May 2020. The organization lists Marina Fischer, Family Nurse Practitoner, as its authorized official.

NPPES Registry Identity

NPI1790306421
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameINTENTIONAL LIVING PRIMARY HEALTH CARE, LLC
Location Address1120 S 6TH ST STE 110Saint Louis, MO 63104-3602
Mailing Address1120 S 6th St Ste 110Saint Louis, MO 63104-3602 · (314) 203-2627 · Fax (314) 261-9469
Phone(314) 203-2627
Fax(314) 261-9469
Organization SubpartNo
Authorized OfficialMarina FischerFamily Nurse Practitoner · (618) 977-1305
Enumeration DateMay 5, 2020
Last NPPES UpdateMarch 16, 20262 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
✔ NPI 1790306421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
1120 S 6TH ST STE 110, Saint Louis, MO 63104
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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 6

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

TABATHA LADORIS ROBINSON FNP
Nurse Practitioner (Family)
1120 S 6TH ST STE 110
SAINT LOUIS, MO 63104
St. Louis City (573) 723-6023
ONPOINT CARE SOLUTIONS LLC
Nurse Practitioner (Family)
1120 S 6TH ST STE 110
SAINT LOUIS, MO 63104
St. Louis City (618) 500-7600
THE NP ADVANTAGE LLC
Clinic/Center
1120 S 6TH ST STE 110
SAINT LOUIS, MO 63104
St. Louis City (314) 533-1871
BRIDGING THE GAP COMMUNITY HEALTH CARE CLINIC L.L.C.
Clinic/Center (Primary Care)
1120 S 6TH ST STE 110
SAINT LOUIS, MO 63104
St. Louis City (573) 723-6023
MS. TAMARA DANIELLE TAYLOR ANP
Nurse Practitioner (Adult Health)
1120 S 6TH ST STE 110
SAINT LOUIS, MO 63104
St. Louis City (314) 533-1871
MARINA FISCHER
Nurse Practitioner (Family)
1120 S 6TH ST STE 110
SAINT LOUIS, MO 63104
St. Louis City (314) 203-2627

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 Intentional Living Primary Health Care, LLC's NPI number?

The NPI number for Intentional Living Primary Health Care, LLC is 1790306421. It was assigned to this organization in the NPPES registry on May 5, 2020.

Where is Intentional Living Primary Health Care, LLC located?

Intentional Living Primary Health Care, LLC is located at 1120 S 6th St Ste 110, Saint Louis, MO 63104. The listed phone number is (314) 203-2627.

What is Intentional Living Primary Health Care, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Intentional Living Primary Health Care, LLC was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.