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SARA RENEE KOOTMAN MSN FNP-C NPI 1710686894


NPI Information

NPI: 1710686894
Provider Name: SARA RENEE KOOTMAN, MSN, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
621 S NEW BALLAS RD STE 5003B
SAINT LOUIS, MO
ZIP 63141
Phone: (314) 251-8892
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Sara Renee Kootman, MSN, FNP-C is a family nurse practitioner in Saint Louis, MO with 2 years of experience. Sara Renee Kootman, MSN, FNP-C NPI is 1710686894. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2022

The provider's business location address is:

621 S NEW BALLAS RD STE 5003B
SAINT LOUIS, MO
ZIP 63141-270
Phone: (314) 251-8892

The NPI 1710686894 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/28/2023 and was last updated on 7/13/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily2023005440MISSOURIYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.