Individual provider Active NPI

Kathryn C Steinmann, CNP

  • Family Nurse Practitioner
  • Wentzville, MO
National Provider Identifier
1023000932
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
059840 Issued in MO
Practice address
1111 W Pearce Blvd
Wentzville, MO 63385-1020
Phone
(636) 887-4288
Fax
(636) 639-2368
NPI assigned
Aug 17, 2005
Last updated
Feb 18, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 059840 MO Primary
Licensed Practical Nurse 164W00000X 229005305 IL

Addresses

Primary practice location

1111 W Pearce Blvd
Wentzville, MO 63385-1020

Mailing address

1111 W Pearce Boulevard
Our Urgent Care
Wentzville, MO 63385
Phone (636) 887-4288

Other identifiers 1

IdentifierTypeStateIssuer
1023000932MedicaidMO

Other names 1

  • Ms. Kathryn C Brim Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
229005305ILMDLicensed Practical Nurse
059840MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Our Urgent Care, LLC CurrentSince Dec 9, 2019 Accepting new patients
Mercy East Ambulatory Services LLC PastSince Aug 15, 2021 Accepting new patients
Alton Multispecialists, LTD. Past Accepting new patients

Locations

2070 McKelvey Rd
Maryland Hts, MO 63043
Phone (314) 309-3562

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1023000932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W PEARCE BOULEVARD",
            "address_2": "OUR URGENT CARE",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "63385",
            "telephone_number": "636-887-4288",
            "fax_number": "636-639-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W PEARCE BLVD",
            "city": "WENTZVILLE",
            "state": "MO",
            "postal_code": "633851020",
            "telephone_number": "636-887-4288",
            "fax_number": "636-639-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEINMANN",
        "first_name": "KATHRYN",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-17",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "059840",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "IL",
            "license": "229005305",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023000932",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "BRIM",
            "middle_name": "C",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wentzville, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.