Individual provider Active NPI

Kathryn Lynn Price, M.D

  • Family Medicine Physician
  • Ketchikan, AK
National Provider Identifier
1154315109
Registry record updated Oct 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME56499 Issued in FL
Practice address
2960 Tongass Ave
Ketchikan, AK 99901-5742
Phone
(907) 228-4900
Fax
(800) 852-3264
NPI assigned
Sep 6, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME56499 FL Primary

Addresses

Primary practice location

2960 Tongass Ave
Ketchikan, AK 99901-5742

Mailing address

2960 Tongass Ave
Ketchikan, AK 99901-5742
Phone (907) 228-4900

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
ME56499FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aldrich Cardiovascular Institute PastSince Oct 29, 2018 Accepting new patients
Advanced Pain Management Inc Past Accepting new patients
Cardiothoracic Surgery of Hyde Park Inc Family Medicine Past Accepting new patients
Senior Xpress Care LLC PastSince Apr 2, 2013 Accepting new patients
Millennium Medical Inc Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: kathryn.price@hca5.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/EADACD

Organizations & group practices 5

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": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508716800000",
    "number": "1154315109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2960 TONGASS AVE",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015742",
            "telephone_number": "907-228-4900",
            "fax_number": "800-852-3264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2960 TONGASS AVE",
            "city": "KETCHIKAN",
            "state": "AK",
            "postal_code": "999015742",
            "telephone_number": "907-228-4900",
            "fax_number": "800-852-3264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRICE",
        "first_name": "KATHRYN",
        "middle_name": "LYNN",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-06",
        "last_updated": "2017-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME56499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ketchikan, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2017; 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.