Individual provider Active NPI

Catherine Marie Depalma, MD

  • Pediatrics Physician
  • Evanston, WY
National Provider Identifier
1144272394
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
7258A Issued in WY
Practice address
195 Feather Way
Evanston, WY 82930-9227
Phone
(307) 789-1102
Fax
(307) 789-9273
NPI assigned
May 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 7258A WY Primary

Addresses

Primary practice location

195 Feather Way
Evanston, WY 82930-9227

Mailing address

195 Feather Way
Evanston, WY 82930-9227
Phone (307) 789-1102

Other identifiers 1

IdentifierTypeStateIssuer
121468300MedicaidWY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Catherine.depalma.1@16971.direct.athenahealth.com Direct

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
7258AWYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Lincoln Hospital District Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: catherine.depalma.1@16971.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1144272394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 FEATHER WAY",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829309227",
            "telephone_number": "307-789-1102",
            "fax_number": "307-789-9273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 FEATHER WAY",
            "city": "EVANSTON",
            "state": "WY",
            "postal_code": "829309227",
            "telephone_number": "307-789-1102",
            "fax_number": "307-789-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPALMA",
        "first_name": "CATHERINE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2022-05-19",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WY",
            "license": "7258A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121468300",
            "state": "WY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Catherine.depalma.1@16971.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "slhd clinic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "195 Feather Way",
            "city": "Evanston",
            "state": "WY",
            "country_code": "US",
            "postal_code": "829309227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Evanston, WY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.