Healthcare Provider Details

I. General information

NPI: 1811340268
Provider Name (Legal Business Name): KARIN BAUGHMAN PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2016
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4245 FOREST PARK AVE
SAINT LOUIS MO
63108-2810
US

IV. Provider business mailing address

4245 FOREST PARK AVE
SAINT LOUIS MO
63108-2810
US

V. Phone/Fax

Practice location:
  • Phone: 314-286-4545
  • Fax: 314-286-4542
Mailing address:
  • Phone: 314-286-4545
  • Fax: 314-286-4542

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2016025000
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: