Katherine Watkins Mayo

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1180013 Issued in TX

Practice address

516 W Bonds Ranch Rd
Fort Worth, TX 76131-3904

Phone

(817) 488-6369

NPI assigned

Nov 21, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

FG Capital PLLCGroup PAC ID 3577062363, 2 clinicians

Superior Healthcare Services LLCGroup PAC ID 8527468982, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CEHJDD/Endpoint/CEHJDD

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.

• FG Capital PLLC

  dba Advanced Medicine Clinic

  • Family Medicine Physician
  • Grapevine, TX
  • NPI 1942008792
  Medicare reassignment Care Compare group NPD
• Superior Healthcare Services LLC

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1689262941
  Medicare reassignment Care Compare group NPD
• S&S Wound Care Specialists, PLLC

  • Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
  • Fort Worth, TX
  • NPI 1689567109
  NPD (past)

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

{
    "created_epoch": "1732147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1235954413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2009 TEALWOOD BLVD",
            "city": "FLOWER MOUND",
            "state": "TX",
            "postal_code": "750287273",
            "telephone_number": "501-951-2213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 W BONDS RANCH RD",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761313904",
            "telephone_number": "817-488-6369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYO",
        "first_name": "KATHERINE",
        "middle_name": "WATKINS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-21",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "851326",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1180013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Corey J. Mayfield, MD
• Matthew Eugene Mayfield, MD
• Meriane Florida Mayhew, APRN
• Mayme Richie-Gillespie, M.D., P.a.
• Carol Ann Mayo, LMT
• Penny Logan Mayo, LVN
• Joey Mayor, MD
• Sarah Mayorga, M.S., SLP- INTERN
• Hillary A. Mayrhofer, BCBA
• Christine Mays, M.ED., CHW

• Family Nurse Practitioner in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.