Active NPI
Kathrene O Bale, WHNP-BC
- Obstetrics & Gynecology Nurse Practitioner
- Creve Coeur, MO
National Provider Identifier
1326413162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 2015042061
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2015042061 | MO | MD | Obstetrics & Gynecology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Reproductive Endocrinology Physician
- Creve Coeur, MO
- NPI 1023473279
-
- Reproductive Endocrinology Physician
- Swansea, IL
- NPI 1861857013
-
- Reproductive Endocrinology Physician
- Chicago, IL
- NPI 1982059275
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.