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DOUGLAS ALLEN BOULDIN FNP-C
NPI 1770568727
Nurse Practitioner in Chesterfield, MO

Active since December 13, 2005
13353 OLIVE BLVD, CHESTERFIELD, MO 63017(636) 473-8873 Get Directions Write a Review

NPPES record last updated: March 16, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Douglas Allen Bouldin Fnp-c NPPES

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

DOUGLAS ALLEN BOULDIN FNP-C (NPI 1770568727) is an individual nurse practitioner in Chesterfield, Missouri, licensed in Missouri (113431) and active in the NPI registry since December 2005.

NPPES Registry Identity

NPI1770568727
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameDOUGLAS ALLEN BOULDINCredential: FNP-C
Location Address13353 OLIVE BLVDChesterfield, MO 63017-3108
Mailing Address13353 Olive BlvdChesterfield, MO 63017-3108 · (636) 473-8873
Phone(636) 473-8873
Sole ProprietorNo
Enumeration DateDecember 13, 2005
Last NPPES UpdateMarch 16, 2016
✔ NPI 1770568727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MO · 113431
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 3009332 (KY)
13353 OLIVE BLVD, Chesterfield, MO 63017
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Other Identifiers 2

Medicare UPINQ73280MO
Medicaid425690617MO

Other Providers at the Same Location NPPES 13

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

RAQUEL K RUSSO PA-C
Physician Assistant
13353 OLIVE BLVD
CHESTERFIELD, MO 63017
St. Louis County (636) 778-2900
DR. DAVID M CRANE MD
Emergency Medicine (Sports Medicine)
13353 OLIVE BLVD
CHESTERFIELD, MO 63017
St. Louis County (636) 778-2900
HILLARY DAWN GIBSON DPT
Physical Therapist
13353 OLIVE BLVD
CHESTERFIELD, MO 63017
St. Louis County (314) 200-4955
BLUETAIL MEDICAL GROUP, LLC.
Orthopaedic Surgery (Sports Medicine)
13353 OLIVE BLVD
CHESTERFIELD, MO 63017
St. Louis County (636) 778-2900
INTEGRATED MEDICINE AND CHIROPRACTIC REGENERATION CENTER O
Family Medicine (Sports Medicine)
13353 OLIVE BLVD
CHESTERFIELD, MO 63017
St. Louis County (314) 200-4955
DR. RONALD LEIGH PATRICK D.C.
Chiropractor
13353 OLIVE BLVD
CHESTERFIELD, MO 63017
St. Louis County (844) 699-4301
CYNTHIA DAVIS D.C.
Chiropractor
13353 OLIVE BLVD
CHESTERFIELD, MO 63017
St. Louis County (314) 200-4955
JULIE STUTKO FNP-C
Nurse Practitioner (Family)
13353 OLIVE BLVD
CHESTERFIELD, MO 63017
St. Louis County (314) 200-4955

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 Douglas Bouldin's NPI number?

The NPI number for Douglas Bouldin is 1770568727. It was assigned to this individual provider in the NPPES registry on December 13, 2005.

Where is Douglas Bouldin located?

Douglas Bouldin practices at 13353 Olive Blvd, Chesterfield, MO 63017. The listed phone number is (636) 473-8873.

What is Douglas Bouldin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Douglas Bouldin was last updated on March 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.