Healthcare Provider Details

I. General information

NPI: 1952049785
Provider Name (Legal Business Name): CHRISTA LAUREN KNOERNSCHILD APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2022
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 S KINGSHIGHWAY BLVD
SAINT LOUIS MO
63110-1016
US

IV. Provider business mailing address

2802 OVERVIEW DR
COLUMBIA IL
62236-2675
US

V. Phone/Fax

Practice location:
  • Phone: 314-362-7200
  • Fax:
Mailing address:
  • Phone: 163-657-8509
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number209025538
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number2022017344
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: