Kathleen M Hartwell-King IV, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

470415667 Issued in MI

Practice address

11275 Allen Rd
Southgate, MI 48195-3380

Phone

(313) 383-7071

Fax

(313) 383-7194

NPI assigned

May 30, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kathleen Marie Benden Former name

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ghassan a Atto MD PLLCGroup PAC ID 3870744311, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Ghassan a Atto MD PLLC

  • Family Medicine Physician
  • Southgate, MI
  • NPI 1932457546
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1225520919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5777 W MAPLE RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11275 ALLEN RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481953380",
            "telephone_number": "313-383-7071",
            "fax_number": "313-383-7194"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 Holmes Rd",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "48198",
            "country_code": "US",
            "telephone_number": "734-218-0456",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11275 Allen Rd",
            "address_purpose": "LOCATION",
            "city": "Southgate",
            "state": "MI",
            "postal_code": "481953380",
            "country_code": "US",
            "telephone_number": "313-383-7071",
            "fax_number": "313-383-7194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTWELL-KING",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "name_suffix": "IV",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-30",
        "last_updated": "2025-08-11",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "470415667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHLEEN",
            "last_name": "BENDEN",
            "middle_name": "MARIE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Latria Harrison
• Jennifer Hart
• Julia Harte
• Cormika Harten
• Dianne Barbara Hartman, LMSW, MAC
• Lonnie Harvey, MA, LPC
• Mustafa A Hashem, MD
• Malick Hassane Bagnou
• Rebecca Jene Hassell, LMSW
• Mary Louise Hasskamp-Howe, MSN-FNP-BC

• Family Nurse Practitioner in Southgate, MI
• Providers in Southgate, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.