Individual provider Active NPI

Katelynn Schumacher, FNP

  • Family Nurse Practitioner
  • Coeur D Alene, ID
National Provider Identifier
1093579484
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
78974 Issued in ID
Practice address
2170 W Ironwood Center Dr Ste a
Coeur D Alene, ID 83814-2606
Phone
(208) 665-5596
NPI assigned
Feb 7, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Registered Nurse 163WE0003X 50320 ID
Family Nurse Practitioner 363LF0000X 78974 ID Primary

Addresses

Primary practice location

2170 W Ironwood Center Dr Ste a
Coeur D Alene, ID 83814-2606

Mailing address

13987 N Cascade St
Rathdrum, ID 83858-8539
Phone (208) 503-0253

Other names 1

  • Katelynn Weatherly Former name

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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240430001314 ID Practitioner - Nurse Practitioner 2961842547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
John a Sturges M D P aGroup PAC ID 6800838376, 3 clinicians

Practice addresses (Care Compare)

2170 W Ironwood Ctr Dr
Suite a
Coeur D Alene, ID 83814-2606
Phone (208) 665-5596

Hospital & facility affiliations

  • Kootenai Health Hospital, Coeur D'Alene, ID, CCN 130049

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
John a. Sturges, MD PA CurrentSince Mar 13, 2024 Accepting new patients

Locations

2170 W Ironwood Center Dr
Ste A
Coeur D Alene, ID 83814
Phone (208) 665-5596

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1707264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1093579484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13987 N CASCADE ST",
            "city": "RATHDRUM",
            "state": "ID",
            "postal_code": "838588539",
            "telephone_number": "208-503-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 W IRONWOOD CENTER DR STE A",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838142606",
            "telephone_number": "208-665-5596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUMACHER",
        "first_name": "KATELYNN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-07",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "ID",
            "license": "50320",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "ID",
            "license": "78974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYNN",
            "last_name": "WEATHERLY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coeur D Alene, ID

Sources for this page

Verify at the official NPI Registry.