Katie Christine Dubose, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

NUR-RN-LIC-129146 Issued in MT

Practice address

106 Westview Dr
Goose Creek, SC 29445-3007

Phone

(406) 381-8210

NPI assigned

Sep 13, 2022

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

Other names 1

• Katie Christine McDonald Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Interoperability endpoints

• Direct secure messaging: kmcdonald1162463@direct.sw.org

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

{
    "created_epoch": "1663027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1184346546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 SPANISH POINTE DR",
            "city": "SUMMERVILLE",
            "state": "SC",
            "postal_code": "294866983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 WESTVIEW DR",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294453007",
            "telephone_number": "406-381-8210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "706 Spanish Pointe Dr",
            "address_purpose": "LOCATION",
            "city": "Summerville",
            "state": "SC",
            "postal_code": "294866983",
            "country_code": "US",
            "telephone_number": "406-381-8210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUBOSE",
        "first_name": "KATIE",
        "middle_name": "CHRISTINE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-13",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MT",
            "license": "NUR-RN-LIC-129146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "MCDONALD",
            "middle_name": "CHRISTINE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Doctors Plus
• Debbie Rose Dove-Kidd, DC
• Dr. Keith B. Flynn DMD PA
• Dream Partners (Coastal DBT)
• Ernest Charles Drews, M.ED., ATC-SCAT
• Mindy Dumont, LPCA
• Tracy Duncan, PHARMD
• Kimberly Deanne Dupree
• East Cooper Physician Group LLC (Novant Health Orthopedics & Sports Medicine)
• East Cooper Physician Group LLC

• Registered Nurse in Goose Creek, SC
• Providers in Goose Creek, SC by specialty
• Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.