Individual provider Active NPI

Catherine Marie Mead, FNP/PA

  • Physician Assistant
  • Lebanon, TN
National Provider Identifier
1265681837
Registry record updated Jan 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2184 Issued in TN
Practice address
1405 W Baddour Pkwy
Suite 101
Lebanon, TN 37087-2567
Phone
(615) 449-5771
Fax
(615) 449-5740
NPI assigned
Sep 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 13506 CA
Physician Assistant 363A00000X 2184 TN Primary
Family Nurse Practitioner 363LF0000X 7450 CA

Addresses

Primary practice location

1405 W Baddour Pkwy
Suite 101
Lebanon, TN 37087-2567

Mailing address

1405 W Baddour Pkwy
Suite 101
Lebanon, TN 37087-2567
Phone (615) 449-5771

Other names 1

  • Catherine Marie Mead-Hutchinson Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
7450CAMDAddiction (Substance Use Disorder) Counselor
2184TNMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358035200000",
    "number": "1265681837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 W BADDOUR PKWY",
            "address_2": "SUITE 101",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872567",
            "telephone_number": "615-449-5771",
            "fax_number": "615-449-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 W BADDOUR PKWY",
            "address_2": "SUITE 101",
            "city": "LEBANON",
            "state": "TN",
            "postal_code": "370872567",
            "telephone_number": "615-449-5771",
            "fax_number": "615-449-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEAD",
        "first_name": "CATHERINE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "FNP/PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-18",
        "last_updated": "2013-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "13506",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "2184",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "7450",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "MEAD-HUTCHINSON",
            "middle_name": "MARIE",
            "credential": "FNP/PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lebanon, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2013; 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.