Kathryn M Detjens, ARNP

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

1-142596 Issued in AL

Practice address

1700 Center St
Mobile, AL 36604-3301

Phone

(251) 415-1566

Fax

(251) 415-1552

NPI assigned

Feb 10, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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.

• USA Health - Mci Business Services LLC

  • Hematology & Oncology Physician
  • Mobile, AL
  • NPI 1952972812
  NPD
• USA Health Physician Billing Services LLC

  • Radiation Oncology Physician
  • Mobile, AL
  • NPI 1871150508
  NPD

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

{
    "created_epoch": "1297296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384214400000",
    "number": "1043516958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 40480",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366400480",
            "telephone_number": "251-415-1566",
            "fax_number": "251-415-1552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 CENTER ST",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366043301",
            "telephone_number": "251-415-1566",
            "fax_number": "251-415-1552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETJENS",
        "first_name": "KATHRYN",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-10",
        "last_updated": "2013-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "FL",
            "license": "ARNP9225689",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "AL",
            "license": "1-142596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janie Deroche, PHARM.D.
• Megan Elizabeth Deshazo, M.D.
• Sameer Subhash Deshmukh, MD
• Destin Orthopedics,PL
• Destiny Hospice Palliative Care, Specialty Services, Inc.
• Deuel Drug Store Inc
• Charley James Deuel Jr., PHARMD
• Hima Reddy Devarapalli, MD
• Macalaster James Deveney, D.O.
• Kimberly Ann Devilbiss, CNS

• Advanced Practice Midwife in Mobile, AL
• Providers in Mobile, AL by specialty
• Advanced Practice Midwife in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.