Kathleen Weatherford Hogan, APRN GPN

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

685 Issued in SC

Practice address

14 Richland Medical Park Dr Ste 320
Columbia, SC 29203-6896

Phone

(803) 434-6771

Fax

(803) 434-3855

NPI assigned

Aug 14, 2006

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

Other identifiers 1

Other names 1

• Kathleen Belinda Weatherford Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1124031836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "803-296-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 RICHLAND MEDICAL PARK DR STE 320",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036896",
            "telephone_number": "803-434-6771",
            "fax_number": "803-434-3855"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "109 Wartburg Road",
            "address_2": "Palmetto Senior Care White Rock",
            "address_purpose": "LOCATION",
            "city": "White Rock",
            "state": "SC",
            "postal_code": "29177",
            "country_code": "US",
            "telephone_number": "803-732-6670",
            "fax_number": "803-732-7453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 Wartburg Road",
            "address_2": "Palmetto Senior Care White Rock",
            "address_purpose": "LOCATION",
            "city": "White Rock",
            "state": "SC",
            "postal_code": "29177",
            "country_code": "US",
            "telephone_number": "803-732-6670",
            "fax_number": "803-732-7453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14 Richland Medical Park Dr Ste 320",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "SC",
            "postal_code": "292036896",
            "country_code": "US",
            "telephone_number": "803-434-6771",
            "fax_number": "803-434-3855",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOGAN",
        "first_name": "KATHLEEN",
        "middle_name": "WEATHERFORD",
        "name_prefix": "Mrs.",
        "credential": "APRN GPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "SC",
            "license": "27551",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "SC",
            "license": "685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0894",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "khogan277463@direct.ghs.myhfn.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "khogan277463@direct.ghs.myhfn.org",
            "address_1": "109 Wartburg Road",
            "address_2": "Palmetto Senior Care White Rock",
            "city": "White Rock",
            "state": "SC",
            "country_code": "US",
            "postal_code": "29177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "WEATHERFORD",
            "middle_name": "BELINDA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Judith A. Hoffman, MD
• Kristin Nicole Hoffman, D.O.
• Paul Martin Hoffman, DO
• Thomas Charles Hoffman, D.M.D.
• Donald William Hogan, DDS
• Nicole Alyssa Hogan, MD
• Samuel C Hogue, R.PH
• Nadia D'Carlo Holbert, PHARM D
• Hilary Holbrook
• Thomas J Holbrook, MD

• Gerontology Nurse Practitioner in Columbia, SC
• Providers in Columbia, SC by specialty
• Gerontology Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; 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.