Marco Katada

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

76331 Issued in KS

Practice address

1111 E Spruce St
Garden City, KS 67846-5958

Phone

(620) 275-0644

Fax

(620) 272-0239

NPI assigned

Jul 23, 2014

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Beacon Behavioral of Texas PAGroup PAC ID 3678626256, 55 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Beacon Behavioral of Texas PA

  • Psychiatry Physician
  • Allen, TX
  • NPI 1053545335
  Medicare reassignment Care Compare group NPD
• Joel a. Holiner, MD PA

  • Psychiatric/Mental Health Nurse Practitioner
  • Dallas, TX
  • NPI 1346259645
  Medicare reassignment NPD
• Compass Behavioral Health

  • Community/Behavioral Health Agency
  • Garden City, KS
  • NPI 1891488474
  NPD (past)
• Aslam Loya, M.D. P.a

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1659580728
  NPD (past)
• Beacon Behavioral of Texas PA

  • Psychiatry Physician
  • Amarillo, TX
  • NPI 1851129654
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1406073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406073600000",
    "number": "1003224932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 531",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678460531",
            "telephone_number": "620-275-0644",
            "fax_number": "620-272-0239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 E SPRUCE ST",
            "city": "GARDEN CITY",
            "state": "KS",
            "postal_code": "678465958",
            "telephone_number": "620-275-0644",
            "fax_number": "620-272-0239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATADA",
        "first_name": "MARCO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-07-23",
        "last_updated": "2014-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "KS",
            "license": "76331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kandee K Klein DDS PA
• Patricia Adrea Kanhai, FNP-C
• Kansas Orthopaedic Center, P.a.
• Vanessa Kapp, LSCSW, LMAC
• Karis, Inc.
• Brad Keller, CPTA
• Cody Weston Kelly, DPT
• Kurt F Kessler, MD
• Kevin J. Sterling Ddspa
• Mercedes Ellen Kimm, OTR/L

• Psychiatric/Mental Health Nurse Practitioner in Garden City, KS
• Providers in Garden City, KS by specialty
• Psychiatric/Mental Health Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.