Individual provider Active NPI

Katrina Hazel-Renee Hobson, CNP

  • Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1245350099
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A0405092 Issued in MI
Practice address
501 Great Circle Rd FL 3
Nashville, TN 37228-1317
Phone
(615) 436-9060
Fax
(615) 235-9725
NPI assigned
Mar 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 0036283 OH
Adult Health Nurse Practitioner 363LA2200X 13064 CT
Nurse Practitioner 363L00000X A0405092 MI Primary
Adult Health Nurse Practitioner 363LA2200X LP-0010726 DE
Adult Health Nurse Practitioner 363LA2200X 267996 AZ

Addresses

Primary practice location

501 Great Circle Rd FL 3
Nashville, TN 37228-1317

Mailing address

313 Redwood Dr
Troy, MI 48083-1065
Phone (248) 802-2848

Other identifiers 2

IdentifierTypeStateIssuer
1245350099MedicaidMI
50086781400OtherMIBCBS IND

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20071109000566 MI Practitioner - Nurse Practitioner 9032207949 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A0405092MIMDNurse Practitioner
267996AZMDAdult Health Nurse Practitioner
13064CTMDAdult Health Nurse Practitioner
LP-0010726DEMDAdult Health Nurse Practitioner
0036283OHMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
After Hours Care PLLC Current Accepting new patients
Michigan Emergency Services CurrentSince Mar 1, 2013 Accepting new patients
VHS Physicians of Michigan CurrentSince Oct 29, 2017 Accepting new patients
Greenfield and 9 Mile Medical Center PLLC Past Accepting new patients
DMC Orthopedic Billing Associates LLC Past Accepting new patients

Locations

3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227

3990 John R St
Rm 4934
Detroit, MI 48201

3990 John R St
Detroit, MI 48201
Phone (313) 745-6211

4201 Saint Antoine St
Ste 5B
Detroit, MI 48201
Phone (313) 745-1741

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

4201 Saint Antoine St
Detroit, MI 48201
Phone (313) 745-3615

4201 Saint Antoine St
Ste 3R
Detroit, MI 48201
Phone (313) 745-3330

261 Mack Ave
Detroit, MI 48201
Phone (313) 745-1100

Interoperability endpoints

  • Direct secure messaging: khobson@landmarkhealth-direct.org

Organizations & group practices 5

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": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1245350099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 REDWOOD DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831065",
            "telephone_number": "248-802-2848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 GREAT CIRCLE RD FL 3",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372281317",
            "telephone_number": "615-436-9060",
            "fax_number": "615-235-9725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOBSON",
        "first_name": "KATRINA",
        "middle_name": "HAZEL-RENEE",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-29",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "OH",
            "license": "0036283",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "13064",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "A0405092",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "DE",
            "license": "LP-0010726",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "267996",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1245350099",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IND",
            "identifier": "50086781400",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

Verify at the official NPI Registry.