Individual
CAROL A KOOISTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
13349
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
135C9
BCBS
—
05
—
89135C9
—
NC
01
—
B91448
UPIN
NC
01
—
P00316714
MEDICARE RR
NC
Enumeration date
12/19/2005
Last updated
02/13/2011
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up