Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LARISSA DE SOUZA MD
NPI 1801683669
Dermatology in Saint Louis, MO

Active since April 23, 2025
4901 FOREST PARK AVE, SAINT LOUIS, MO 63108(314) 273-3376 Get Directions Write a Review

NPPES record last updated: July 5, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Larissa De Souza Md NPPES

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

LARISSA DE SOUZA MD (NPI 1801683669) is an individual dermatology provider in Saint Louis, Missouri, licensed in Missouri (2026021052) and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1801683669
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameLARISSA DE SOUZACredential: MD
Location Address4901 FOREST PARK AVESaint Louis, MO 63108-1495
Mailing Address1717 Olive St Apt 423Saint Louis, MO 63103-1774
Sole ProprietorNo
Enumeration DateApril 23, 2025
Last NPPES UpdateJuly 5, 2026
NPPES CertifiedJuly 5, 2026
NPI 1801683669 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in MO · 2026021052
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
4901 FOREST PARK AVE, Saint Louis, MO 63108

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.

General Practice
4901 FOREST PARK AVE, DIV IM GENERAL MED, STE 241
SAINT LOUIS, MO 63108
General Practice
4901 FOREST PARK AVE, DIV IM GENERAL MED, STE 241
SAINT LOUIS, MO 63108
Nurse Practitioner (Family)
4901 FOREST PARK AVE, STE 341
SAINT LOUIS, MO 63108
Psychologist
4901 FOREST PARK AVE, DEPT PSYCHIATRY, STE 441
SAINT LOUIS, MO 63108
Clinic/Center (Multi-Specialty)
4901 FOREST PARK AVE
SAINT LOUIS, MO 63108
Ophthalmology (Cornea and External Diseases Specialist)
4901 FOREST PARK AVE, DEPT OPHTHALMOLOGY, 6TH FL
SAINT LOUIS, MO 63108
Ophthalmology (Cornea and External Diseases Specialist)
4901 FOREST PARK AVE, DEPT OPHTHALMOLOGY, 6TH FL
SAINT LOUIS, MO 63108
Obstetrics & Gynecology (Gynecology)
4901 FOREST PARK AVE, DIV OBGYN FAMILY PLANNING, STE 710
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 Larissa De Souza's NPI number?

The NPI number for Larissa De Souza is 1801683669. It was assigned to this individual provider in the NPPES registry on April 23, 2025.

Where is Larissa De Souza located?

Larissa De Souza practices at 4901 Forest Park Ave, Saint Louis, MO 63108. The listed phone number is (314) 273-3376.

What is Larissa De Souza's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

When was this NPI record last updated?

The NPPES record for Larissa De Souza was last updated on July 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 56 days 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.