Individual provider · Type 1 NPI
Carissa Shantell Carson
Birthing Clinic/Center · St. Louis, MO
NPI number
1578075313
Active
Practice location
615 S New Ballas Rd
St. Louis, MO 63141-8221
Mailing address
3632 Watson Rd Apt A
St. Louis, MO 63109-1232
Other practice locations
- 3632 Watson Rd Apt A, St. Louis, MO 63109-1232 · (314) 374-2290
- 6420 Clayton Rd, Richmond Heights, MO 63117-1811 · (314) 768-8000
- 3015 N Ballas Rd, St. Louis, MO 63131-2329 · (314) 837-7470
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | None listed |
| Lay Midwife | 175M00000X | None listed |
| Non-Surgical Family Planning Clinic/Center | 261QF0050X | None listed |
| Birthing Clinic/Center Primary | 261QB0400X | None listed |
Birthing Clinic/Center: 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.
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About NPI 1578075313
Carissa Shantell Carson's National Provider Identifier is 1578075313, issued on Nov 2, 2017. The primary taxonomy on file is Birthing Clinic/Center (261QB0400X), and the practice location is in St. Louis, MO. The record was last updated on Mar 17, 2018.