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JUSTIN BOLIN
NPI 1225527633
Registered Nurse - Diabetes Educator in Saint Louis, MO

Active since May 02, 2018
615 S NEW BALLAS RD, SAINT LOUIS, MO 63141(314) 251-7921(314) 251-4815 Get Directions Write a Review

NPPES record last updated: May 2, 2018. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Justin Bolin NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN BOLIN (NPI 1225527633) is an individual diabetes educator provider in Saint Louis, Missouri, licensed in Missouri (2015024051) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1225527633
Entity TypeIndividualMale
Primary Taxonomy163WD0400X
Provider Legal NameJUSTIN BOLIN
Location Address615 S NEW BALLAS RDSaint Louis, MO 63141-8221
Mailing Address615 S New Ballas RdSaint Louis, MO 63141-8221 · (314) 251-7921 · Fax (314) 251-4815
Phone(314) 251-7921
Fax(314) 251-4815
Sole ProprietorNo
Enumeration DateMay 2, 2018
✔ NPI 1225527633 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Diabetes EducatorNursing Service Providers
Taxonomy Code163WD0400X
License✔ Licensed in MO · 2015024051
615 S NEW BALLAS RD, Saint Louis, MO 63141
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Other Identifiers 2

Other21800005National Certification Board For Diabetes Educators
Other2015024051MO · Missouri State Board Of Nursing

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. PATRICIA ANN RICE APN
Nurse Practitioner (Family)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6339
MARY BETH WALKER FNP
Nurse Practitioner (Family)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6000
LOVEPREET SINGH RANDHAWA MD
Internal Medicine
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6339
DR. CONNOR ROBERT REIS DO
Internal Medicine
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6930
MR. SHEBY THOMAS AA-S
Anesthesiologist Assistant
615 S NEW BALLAS RD, DEPT OF ANESTHESIOLOGY
SAINT LOUIS, MO 63141
St. Louis County (636) 386-9224
JOSE L OLIVER SEGARRA
Dentist (General Practice)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6382
CAREN BIRKENKAMP PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6000
ANAS M HASIC MD
Internal Medicine
615 S NEW BALLAS RD
SAINT LOUIS, MO 63141
St. Louis County (314) 509-5305

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Bolin's NPI number?

The NPI number for Justin Bolin is 1225527633. It was assigned to this individual provider in the NPPES registry on May 2, 2018.

Where is Justin Bolin located?

Justin Bolin practices at 615 S New Ballas Rd, Saint Louis, MO 63141. The listed phone number is (314) 251-7921.

What is Justin Bolin's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Diabetes Educator, with taxonomy code 163WD0400X.

When was this NPI record last updated?

The NPPES record for Justin Bolin was last updated on May 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.