Katherine Marie Boehm, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

SP025581 Issued in PA

Practice address

330 Innovation Blvd FL 2
State College, PA 16803-6611

Phone

(888) 731-8994

NPI assigned

May 6, 2022

Last updated

May 12, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: katherine.boehm.1@27069.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Central Outreach Wellness Center

  • Internal Medicine Physician
  • Pittsburgh, PA
  • NPI 1063804136
  Medicare reassignment
• Integrative Womens Care PC

  dba Midi Health PC

  • Obstetrics & Gynecology Physician
  • Palo Alto, CA
  • NPI 1972266732
  NPD (past)

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

{
    "created_epoch": "1651795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1174269781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 INNOVATION BLVD FL 2",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168036611",
            "telephone_number": "888-731-8994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 INNOVATION BLVD FL 2",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168036611",
            "telephone_number": "888-731-8994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEHM",
        "first_name": "KATHERINE",
        "middle_name": "MARIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-06",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP025581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina B Bloom, MSW, LSW
• Blue & White Counseling LLC
• Ashton Boal, PSY.D.
• Angela Lynn Bobak, DO
• Dana J. Boddorf, AU.D.
• Jennifer Bonanni, PHARMD, BCPS, BCACP
• Casey Lee Bonsell, PHARMD
• Roberta Jean Boob, PTA
• Sarah E Bork, MD
• Philip J. Bosha, M.D.

• Family Nurse Practitioner in State College, PA
• Providers in State College, PA by specialty
• Family Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.