Katherine Gong Barnett, RN
Individual provider Active NPI Registered Nurse · Blountville, TN
NPI 1124653605 · NPPES record last updated Mar 5, 2020
Key facts
- NPI
- 1124653605
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 0000223415 (TN)
- Practice address
- 154 Blountville Byp
Blountville, TN 37617-4575 - Phone
- (423) 279-2777
- NPI assigned
- Mar 5, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0000223415 | TN | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 0000223415 | TN | Yes |
Addresses
Primary practice location
154 Blountville Byp
Blountville, TN 37617-4575
Mailing address
154 Blountville Byp
Blountville, TN 37617-4575
Phone (423) 279-2777
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3170197 | Medicaid | TN |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Laptop |
Other providers in Blountville, TN
- Christopher Ashby
- Cori Baker
- Noel Dayton Baker
- Allison Baltimore
- McKayla Ann Barker
- Melissa Marie Barnett
- April Danielle Belcher
- Kathy Diane Benton
- Codie Berry
- Bronson Lee Best
All providers in Blountville, TN · Registered Nurse in Tennessee
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 5, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.