Individual provider Active NPI

Courtney D Baxter-Baublitz, ANP

  • Nurse Practitioner
  • Chesterfield, MO
National Provider Identifier
1477715191
Registry record updated Nov 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
2008003895 Issued in MO
Practice address
121 Saint Lukes Center Dr Ste 303
Chesterfield, MO 63017-3519
Phone
(143) 434-3278
NPI assigned
Jun 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 2008003895 MO Primary

Addresses

Primary practice location

121 Saint Lukes Center Dr Ste 303
Chesterfield, MO 63017-3519

Mailing address

215 Roxbury Dr
O Fallon, MO 63366-1493
Phone (314) 221-3523

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

Practice roles

OrganizationSpecialtyStatusNew patients
Metro Heart Group of St. Louis, Inc. Past Accepting new patients
Inpatient Consultants of Missouri Inc Past Accepting new patients

Organizations & group practices 2

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": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1477715191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 ROXBURY DR",
            "city": "O FALLON",
            "state": "MO",
            "postal_code": "633661493",
            "telephone_number": "314-221-3523"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 SAINT LUKES CENTER DR STE 303",
            "city": "CHESTERFIELD",
            "state": "MO",
            "postal_code": "630173519",
            "telephone_number": "143-434-3278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAXTER-BAUBLITZ",
        "first_name": "COURTNEY",
        "middle_name": "D",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MO",
            "license": "2008003895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesterfield, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; 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.