Nurse Practitioner, Pediatrics
OMNIA SALEM
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1528440807 · enumerated 2015-06-23 · record updated 2015-06-23. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Mailing address 450 CHUKKER VLY, ELLISVILLE, MO, 63021-2043 Google Maps Apple Maps OpenStreetMap
- Practice location 6121 N HANLEY RD, BERKELEY, MO, 63134-2003 (314) 615-0877 Google Maps Apple Maps OpenStreetMap
Specialties
- Nurse Practitioner, Pediatrics 363LP0200X · Primary · License 2015006765 MO
In this directory
Locations and evidence
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Practice location
BERKELEY, MO, 631342003
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.