Active NPI
Christina Renee Kattelman, ANP-C
- Adult Health Nurse Practitioner
- St. Louis, MO
National Provider Identifier
1194026054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 2010028010
- Practice address
- 12855 N 40 Dr # 280
St. Louis, MO 63141 - Phone
- (314) 744-3100
- NPI assigned
- Nov 9, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 2010028010 | MO | Primary |
Addresses
Primary practice location
12855 N 40 Dr # 280
St. Louis, MO 63141
Mailing address
901 E 1St St
Washington, MO 63090-4700
Phone (636) 390-1715
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01134702 | Other | MO | RAILROAD MEDICARE |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2010028010 | MO | MD | Adult Health Nurse Practitioner |
Interoperability endpoints
- ms_ckattelm@landmarkhealth-direct.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395360000000",
"number": "1194026054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "901 E 1ST ST",
"city": "WASHINGTON",
"state": "MO",
"postal_code": "630904700",
"telephone_number": "636-390-1715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12855 N 40 DR # 280",
"city": "ST. LOUIS",
"state": "MO",
"postal_code": "63141",
"telephone_number": "314-744-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATTELMAN",
"first_name": "CHRISTINA",
"middle_name": "RENEE",
"credential": "ANP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-09",
"last_updated": "2014-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MO",
"license": "2010028010",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01134702",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in St. Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.