Individual provider Active NPI

Kathrene O Bale, WHNP-BC

  • Obstetrics & Gynecology Nurse Practitioner
  • Creve Coeur, MO
National Provider Identifier
1326413162
Registry record updated Dec 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
2015042061 Issued in MO
Practice address
10806 Olive Blvd
Balanced Care for Women
Creve Coeur, MO 63141-7773
Phone
(314) 993-7009
Fax
(314) 993-1535
NPI assigned
Dec 4, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 2015042061 MO Primary

Addresses

Primary practice location

10806 Olive Blvd
Balanced Care for Women
Creve Coeur, MO 63141-7773

Mailing address

10806 Olive Blvd
Balanced Care for Women
Creve Coeur, MO 63141-7773
Phone (314) 993-7009

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)
Not enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2015042061MOMDObstetrics & Gynecology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centers for Reproductive Medicine and Wellness, LLC Past Accepting new patients
Vios Fertility Institute Chicago Past Accepting new patients
Vios Fertility Institute St. Louis, LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1449187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449187200000",
    "number": "1326413162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10806 OLIVE BLVD",
            "address_2": "BALANCED CARE FOR WOMEN",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417773",
            "telephone_number": "314-993-7009",
            "fax_number": "314-993-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10806 OLIVE BLVD",
            "address_2": "BALANCED CARE FOR WOMEN",
            "city": "CREVE COEUR",
            "state": "MO",
            "postal_code": "631417773",
            "telephone_number": "314-993-7009",
            "fax_number": "314-993-1535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALE",
        "first_name": "KATHRENE",
        "middle_name": "O",
        "credential": "WHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-04",
        "last_updated": "2015-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "MO",
            "license": "2015042061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Creve Coeur, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2015; 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.