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

Taraneh Maryam Divanbeigi, FNP-C

Individual provider Family Nurse Practitioner · NPI 1215640768

Taraneh Maryam Divanbeigi, FNP-C is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2022, 4 years ago. Practices with SSM Medical Group Inc, a 560-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
4
Licensed in
MO
In the registry since
2022
What do these letters mean?
FNP-C — Family Nurse Practitioner, Certified
A family nurse practitioner certified by the AANP.

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Practice location Address checks out

4921 Parkview Pl
Saint Louis, MO 63110-1032
Phone: (314) 454-8134
Fax: (314) 454-8104
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2022048276 (MO)

Record details

NPI number1215640768
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-C
Sole proprietorNo
NPI enumeratedDecember 29, 2022
Last updated in NPPESDecember 29, 2022
Certification dateDecember 29, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Ssm Medical Group Inc — 560 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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