Active NPI
Katina White
- Community Health Worker
- Medina, TN
National Provider Identifier
1043752447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 124 Paulmerston Dr
Medina, TN 38355-6871 - Phone
- (731) 402-1692
- NPI assigned
- Nov 16, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | TN | Primary |
Addresses
Primary practice location
124 Paulmerston Dr
Medina, TN 38355-6871
Mailing address
124 Paulmerston Dr
Medina, TN 38355-6871
Other names 1
- Miss Katina Coaty
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479254400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479254400000",
"number": "1043752447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "124 PAULMERSTON DR",
"city": "MEDINA",
"state": "TN",
"postal_code": "383556871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "124 PAULMERSTON DR",
"city": "MEDINA",
"state": "TN",
"postal_code": "383556871",
"telephone_number": "731-402-1692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITE",
"first_name": "KATINA",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-11-16",
"last_updated": "2016-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": "TN",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATINA",
"last_name": "COATY",
"prefix": "MISS",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Medina, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.