Active NPI
Caroline Colgrove Calvert, NP
- Family Nurse Practitioner
- St. Louis, MO
National Provider Identifier
1609277490
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2017004980
- Practice address
- Biobalance Health 10800 Olive Blvd
St. Louis, MO 63141 - Phone
- (314) 993-0963
- Fax
- (260) 969-6898
- NPI assigned
- Sep 11, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 71005165A | IN | |
| Family Nurse Practitioner | 363LF0000X | 2017004980 | MO | Primary |
Addresses
Primary practice location
Biobalance Health 10800 Olive Blvd
St. Louis, MO 63141
Mailing address
Biobalance Health 10800 Olive Blvd
St. Louis, MO 63141-1675
Phone (260) 432-4400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201268300 | Medicaid | IN |
Other names 1
- Caroline Colgrove
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Jul 1, 2025 through Jul 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71005165A | IN | MD | Nurse Practitioner |
| 2017004980 | MO | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410393600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701907200000",
"number": "1609277490",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BIOBALANCE HEALTH 10800 OLIVE BLVD",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "631411675",
"telephone_number": "260-432-4400",
"fax_number": "260-969-6898"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BIOBALANCE HEALTH 10800 OLIVE BLVD",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63141",
"telephone_number": "314-993-0963",
"fax_number": "260-969-6898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CALVERT",
"first_name": "CAROLINE",
"middle_name": "COLGROVE",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-11",
"last_updated": "2023-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "IN",
"license": "71005165A",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "2017004980",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201268300",
"state": "IN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CAROLINE",
"last_name": "COLGROVE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in St. Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.