Individual provider Active NPI

Kathryn Elizabeth Spates, NP

  • Acute Care Nurse Practitioner
  • Washington, DC
National Provider Identifier
1053745604
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RN1002314 Issued in DC
Practice address
Peace Corps Office of Medical Services
1111 20TH St. NW
Washington, DC 20526-0001
Phone
(202) 692-1634
Fax
(202) 692-1501
NPI assigned
Aug 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RN1002314 DC Primary

Addresses

Primary practice location

Peace Corps Office of Medical Services
1111 20TH St. NW
Washington, DC 20526-0001

Mailing address

Peace Corps Office of Medical Services
1111 20TH St. NW
Washington, DC 20526-0001
Phone (202) 692-1634

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
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN1002314DCMDAcute Care Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1377734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1053745604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PEACE CORPS OFFICE OF MEDICAL SERVICES",
            "address_2": "1111 20TH ST. NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "205260001",
            "telephone_number": "202-692-1634",
            "fax_number": "202-692-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PEACE CORPS OFFICE OF MEDICAL SERVICES",
            "address_2": "1111 20TH ST. NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "205260001",
            "telephone_number": "202-692-1634",
            "fax_number": "202-692-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPATES",
        "first_name": "KATHRYN",
        "middle_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "DC",
            "license": "RN1002314",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.