Provider Demographics
NPI:1790237949
Name:VOLKART, BETHANY R (FNP-C)
Entity type:Individual
Prefix:
First Name:BETHANY
Middle Name:R
Last Name:VOLKART
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:BETHANY
Other - Middle Name:RENEE
Other - Last Name:POHLMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2011 CORONA RD STE 207
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MO
Mailing Address - Zip Code:65203-2548
Mailing Address - Country:US
Mailing Address - Phone:573-234-1000
Mailing Address - Fax:573-234-1771
Practice Address - Street 1:2011 CORONA RD STE 207
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MO
Practice Address - Zip Code:65203-2548
Practice Address - Country:US
Practice Address - Phone:573-234-1000
Practice Address - Fax:573-234-1771
Is Sole Proprietor?:No
Enumeration Date:2016-11-03
Last Update Date:2025-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2016034328363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1790237949Medicaid