Individual provider Active NPI

Karen E Bolhuis, MSN FNP

  • Family Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1609051226
Registry record updated Jul 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
153090 Issued in MO
Practice address
901 Chouteau Ave
Nestle Purina Petcare Company, Medical Dept LLT
Saint Louis, MO 63102-1009
Phone
(314) 982-1230
Fax
(314) 982-3486
NPI assigned
Jan 2, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 153090 MO Primary

Addresses

Primary practice location

901 Chouteau Ave
Nestle Purina Petcare Company, Medical Dept LLT
Saint Louis, MO 63102-1009

Mailing address

Nestle Purina Petcare Company
Checkerboard Square, Medical Dept LLT
Saint Louis, MO 63164-0001
Phone (314) 982-1230

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
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
153090MOMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1199232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310342400000",
    "number": "1609051226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NESTLE PURINA PETCARE COMPANY",
            "address_2": "CHECKERBOARD SQUARE, MEDICAL DEPT LLT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631640001",
            "telephone_number": "314-982-1230",
            "fax_number": "314-982-3486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 CHOUTEAU AVE",
            "address_2": "NESTLE PURINA PETCARE COMPANY, MEDICAL DEPT LLT",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631021009",
            "telephone_number": "314-982-1230",
            "fax_number": "314-982-3486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLHUIS",
        "first_name": "KAREN",
        "middle_name": "E",
        "name_prefix": "Ms.",
        "credential": "MSN FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-02",
        "last_updated": "2011-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "153090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; 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.