Cathy Ware Koetting, CPNP, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

123616 Issued in MO

Practice address

4590 S Lindbergh Blvd
Saint Louis, MO 63127-1832

Phone

(314) 849-7669

Fax

(314) 849-7670

NPI assigned

Feb 27, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Pediatric Nurse Practitioner, Nurse Practitioner

State licenses

Practice roles

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

• Institute for Research and Education in Family Medicine

  • Family Medicine Physician
  • Saint Louis, MO
  • NPI 1972567923
  NPD (past)

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

{
    "created_epoch": "1235692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1306086582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3221 MCKELVEY RD STE 301",
            "city": "BRIDGETON",
            "state": "MO",
            "postal_code": "630442551",
            "telephone_number": "636-498-5973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4590 S LINDBERGH BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631271832",
            "telephone_number": "314-849-7669",
            "fax_number": "314-849-7670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOETTING",
        "first_name": "CATHY",
        "middle_name": "WARE",
        "credential": "CPNP, NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-27",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "123616",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "MO",
            "license": "123616",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "123616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey R Koenitzer, MD
• Charlene Velma Koepke, CRNA
• Haley M Koepp, PMHNP-BC
• Lisa A Koester-Wiedemann, ANP
• Rachel Koester, IBCLC
• Julia Lynne Kofkoff, D.D.S.
• Lauren Kofron, LPC
• William Kogel
• Krystal J Kohenskey
• Christine M Kohler, RPH

• Nurse Practitioner in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.