Katie Clouthier, DO

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2017-00762 Issued in NC

Practice address

333 S Columbia St 417 Macnider Hall CB 7221
Chapel Hill, NC 27599-3322

Phone

(919) 966-7495

NPI assigned

Mar 31, 2014

Sex

Female

Sole proprietor

Yes

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 CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Children'S Hospital Los Angeles Medical Group, Inc.

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1265530653

  Pediatrics

  Medicare reassignment NPD
• Childrens Hospital of Los Angeles

  • Children's Hospital
  • Los Angeles, CA
  • NPI 1124073366
  NPD (past)

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

{
    "created_epoch": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1215355995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 GATTIS APT 304",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275177390",
            "telephone_number": "603-491-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S COLUMBIA ST 417 MACNIDER HALL CB 7221",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275993322",
            "telephone_number": "919-966-7495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOUTHIER",
        "first_name": "KATIE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-31",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2017-00762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Susannah Cleveland, MD
• Clifford Counseling Group, PLLC
• Theresa Lenise Clifton, DDS, MS
• Kristin Clinard, MS, CGC
• Leslie Erin Cloninger, LCSW
• CM Chiropractic Chapel Hill PLLC
• Raymond D Coakley, MD
• Margaret Marie Coates, MD
• Benjamin Cobb
• Kathryn Watson Cobb, M.D.

• Pediatrics Physician in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.