Individual provider Active NPI

Katherine D Kolat, APRN

  • Acute Care Nurse Practitioner
  • West Columbia, SC
National Provider Identifier
1205083045
Registry record updated Jun 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
3679 Issued in SC
Practice address
1053 Center Street
SC House Calls Inc
West Columbia, SC 29169
Phone
(800) 491-0909
Fax
(864) 797-6198
NPI assigned
Aug 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 3679 SC Primary

Addresses

Primary practice location

1053 Center Street
SC House Calls Inc
West Columbia, SC 29169

Mailing address

1053 Center Street
SC House Calls Inc
West Columbia, SC 29169
Phone (800) 491-0909

Other identifiers 4

IdentifierTypeStateIssuer
P00683526OtherSCRR MEDICARE
576007863110OtherSCBCBS OF SC
NP1279MedicaidSC
P00817201OtherSCRR MEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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

Enrollment IDStateProvider typePAC IDDetails
I20081110000214 SC Practitioner - Nurse Practitioner 8527127240 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3679SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hospice Care of South Carolina, LLC CurrentSince Dec 25, 2019 Accepting new patients
Greenville Health System Past Accepting new patients

Locations

136 Stonemark Ln
Ste 100C
Columbia, SC 29210
Phone (888) 701-4661

187 N Church St
Ste 201
Spartanburg, SC 29306
Phone (864) 630-8469

1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365

Organizations & group practices 4

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": "1219449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593475200000",
    "number": "1205083045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1053 CENTER STREET",
            "address_2": "SC HOUSE CALLS INC",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "29169",
            "telephone_number": "800-491-0909",
            "fax_number": "864-797-6198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1053 CENTER STREET",
            "address_2": "SC HOUSE CALLS INC",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "29169",
            "telephone_number": "800-491-0909",
            "fax_number": "864-797-6198"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLAT",
        "first_name": "KATHERINE",
        "middle_name": "D",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-23",
        "last_updated": "2020-06-30",
        "certification_date": "2020-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "SC",
            "license": "3679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00683526",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF SC",
            "identifier": "576007863110",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP1279",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICAID",
            "identifier": "P00817201",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

Verify at the official NPI Registry.