Katherine Dougherty-Basila, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

38700 Issued in AL

Practice address

460 Al Highway 75 N
Albertville, AL 35951-3838

Phone

(256) 891-7461

Fax

(256) 891-7461

NPI assigned

Aug 6, 2007

Last updated

Dec 11, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
• Direct secure messaging: katherinedougherty-basila@sspl-al.direct.office.nextgen.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Smart Start Pediatrics LLC

  • Rural Health Clinic/Center
  • Albertville, AL
  • NPI 1982020756

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1186358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576022400000",
    "number": "1225229255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 AL HIGHWAY 75 N",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359513838",
            "telephone_number": "256-891-0300",
            "fax_number": "256-891-7461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 AL HIGHWAY 75 N",
            "city": "ALBERTVILLE",
            "state": "AL",
            "postal_code": "359513838",
            "telephone_number": "256-891-7461",
            "fax_number": "256-891-7461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOUGHERTY-BASILA",
        "first_name": "KATHERINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-06",
        "last_updated": "2019-12-11",
        "certification_date": "2019-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "244455",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "43730",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "38700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenifer Diaz Ramirez
• Stormy Denise Dismuke, RN, BSN, MSN, NP-C
• Cindy Doan, PHARMD
• Doctors Med Care PC
• Donald F. Slappey, M.D., P.C.
• Natosha T. Douglas, CRNP
• Molley Eagle, CRNP
• Cynthia N Evans, CRNP
• Eyecare Associates, Inc.
• Eyecare Associates, Inc.

• Pediatrics Physician in Albertville, AL
• Providers in Albertville, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; 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.