Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carmen Diane Purvis

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1235758582

Carmen Diane Purvis is a Family Practice in Saint Louis, Missouri. Qualified in 2020, 6 years ago. Practices with Family Care Health Centers, a 52-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
6
Licensed in
NY
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

401 Holly Hills Ave
Saint Louis, MO 63111-2410
Phone: (314) 353-5190
Fax: (314) 353-1310
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 321316 (NY)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1235758582
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 15, 2020
Last updated in NPPESNovember 7, 2024
Certification dateNovember 7, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Family Care Health Centers — 52 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Saint Louis