Active NPI
Katherine Grill Nate, OD
- Optometrist
- Twin Falls, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- ODP100344
- Practice address
- 844 Shoshone St E
Twin Falls, ID 83301-6336 - Phone
- (208) 734-9800
- Fax
- (208) 734-9433
- NPI assigned
- Jun 4, 2015
- Last updated
- Aug 19, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | ODP100344 | ID | Primary |
Addresses
Primary practice location
844 Shoshone St E
Twin Falls, ID 83301-6336
Mailing address
844 Shoshone St E
Twin Falls, ID 83301-6336
Phone (208) 734-9800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Optometry
- Education
- University of Houston - College of Optometry, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
844 Shoshone St E
Twin Falls, ID 83301-6336
Phone (208) 734-9800
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 51 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ODP100344 | ID | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eyecenter PA | Optometrist | Current | Accepting new patients |
| Eyecenter PA | Optometrist | Current | Accepting new patients |
| Eyecenter PA | Optometrist | Past | Accepting new patients |
Locations
110 N 1st Ave
Hailey, ID 83333
Phone (208) 788-4120
201 S Lincoln Ave
Jerome, ID 83338
Phone (208) 324-4363
844 Shoshone St E
Twin Falls, ID 83301
Phone (208) 734-9800
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1439942400000",
"number": "1023498037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "844 SHOSHONE ST E",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833016336",
"telephone_number": "208-734-9800",
"fax_number": "208-734-9433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "844 SHOSHONE ST E",
"city": "TWIN FALLS",
"state": "ID",
"postal_code": "833016336",
"telephone_number": "208-734-9800",
"fax_number": "208-734-9433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRILL NATE",
"first_name": "KATHERINE",
"credential": "OD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-06-04",
"last_updated": "2015-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "ID",
"license": "ODP100344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Twin Falls, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2015; 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.