Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kimberly Dawn Autry, AGNP-C

Individual provider Adult Health Nurse Practitioner · NPI 1265009369

Kimberly Dawn Autry, AGNP-C is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2020, 6 years ago. Practices with Unity Hospice Gsl LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
6
Licensed in
MO
In the registry since
2021
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Practice location Address checks out

6406 Wise Ave
Saint Louis, MO 63139-3315
Phone: (314) 636-4891
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence AG05210083 (MO)

Record details

NPI number1265009369
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedJune 7, 2021
Last updated in NPPESJuly 10, 2024
Certification dateJuly 13, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Unity Hospice Gsl Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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