Catherine Ann Marcum, APN

Key facts

NPI

1194133546

Entity type

Individual (NPI type 1)

Primary specialty

Adult Health Nurse Practitioner 363LA2200X

License

18958 (TN)

Practice address

110 Dunhill PL NW Ste a
Cleveland, TN 37311-3870

Phone

(423) 541-6195

NPI assigned

Jul 29, 2014

Sex

Female

Sole proprietor

No

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.

• Blue Ridge Gastroenterology, PC Gastroenterology Physician · Cleveland, TN · NPI 1891801296
  NPD (past)

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 21, 2020.

{
    "created_epoch": "1406592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600646400000",
    "number": "1194133546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22464",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374222464",
            "telephone_number": "423-541-6195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 DUNHILL PL NW STE A",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373113870",
            "telephone_number": "423-541-6195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "320 E Main St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Chattanooga",
            "state": "TN",
            "postal_code": "37408",
            "country_code": "US",
            "telephone_number": "423-541-6195",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCUM",
        "first_name": "CATHERINE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-29",
        "last_updated": "2020-09-21",
        "certification_date": "2020-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TN",
            "license": "18958",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "18958",
            "primary": false
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TN",
            "license": "APN0000018958",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TN",
            "license": "APN0000018958",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TN",
            "license": "18958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APN LICENSE",
            "identifier": "18958",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, TN

• Sharon Judith Maloney, MA, LPC/MHSP
• Juan Carlos Malpartida Jr., MD
• Julie Mangrum, PTA
• Valerie Gabrielle Manley, FNP-C
• Kasey Mann
• James L Marcum, MD
• Robert F. Marcum, M.D.
• Hanna Marino
• Benjamin Ledwell Marlow, LCSW
• James William Marshall, DPT

All providers in Cleveland, TN · Adult Health Nurse Practitioner in Tennessee