Jennifer Southward, CPNP
NPI 1790100089 · Pediatric Nurse Practitioner · Cottleville, MO
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jennifer Southward, CPNP is a Pediatric Nurse Practitioner provider in Cottleville, MO (NPI 1790100089).
Provider details
- NPI number
- 1790100089
- Entity type
- Individual
- Primary specialty
- Pediatric Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CPNP
- Sex
- Female
- Sole proprietor
- No
- License
- 2013037116 (MO)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-02-24
- Last updated
- 2026-05-20
- Certified
- 2026-05-20
Frequently asked questions
- What is Jennifer Southward's NPI number?
- Jennifer Southward's National Provider Identifier (NPI) is 1790100089, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jennifer Southward's specialty?
- Jennifer Southward is listed in the NPPES registry with a primary specialty of Pediatric Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Jennifer Southward located?
- Jennifer Southward's practice location on file with NPPES is 4525 Mid Rivers Mall Dr Ste 40, Cottleville, MO 63376-2820.
- What is Jennifer Southward's phone number?
- The practice phone number listed in the NPPES registry for Jennifer Southward is (636) 229-3370.
- Does Jennifer Southward accept Medicare?
- Jennifer Southward is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jennifer Southward's NPI active?
- Yes — Jennifer Southward's NPI (1790100089) is active in the NPPES registry as of the last update on 2026-05-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.