Individual provider Active NPI

Caroline C. Rowe, FNP-BC

  • Family Nurse Practitioner
  • Saint Louis, MO
National Provider Identifier
1962791368
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2011007613 Issued in MO
Practice address
456 N New Ballas Rd Ste 386
Saint Louis, MO 63141-6846
Phone
(314) 887-7605
Fax
(314) 887-7609
NPI assigned
Apr 6, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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 2011007613 MO Primary

Addresses

Primary practice location

456 N New Ballas Rd Ste 386
Saint Louis, MO 63141-6846

Mailing address

PO Box 31725
Saint Louis, MO 63131-0725
Phone (636) 893-1356

Other names 1

  • Caroline Kheiri Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180920002351 MO Practitioner - Nurse Practitioner 4183975790 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2011007613MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
New You Surgical Weight Loss, LLC CurrentSince Nov 1, 2023 Accepting new patients
Mercy Clinic East Communities CurrentSince Sep 10, 2018 Accepting new patients

Locations

15945 Clayton Rd
Ste 310
Ballwin, MO 63011
Phone (636) 893-1356

621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335

621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192

456 N New Ballas Rd
Ste 386
Saint Louis, MO 63141
Phone (314) 292-7080

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": "1302048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1962791368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31725",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631310725",
            "telephone_number": "636-893-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "456 N NEW BALLAS RD STE 386",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631416846",
            "telephone_number": "314-887-7605",
            "fax_number": "314-887-7609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWE",
        "first_name": "CAROLINE",
        "middle_name": "C.",
        "name_prefix": "Ms.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-06",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2011007613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLINE",
            "last_name": "KHEIRI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.