Katie Louise Pemberton, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP134557 Issued in TX

Practice address

2001 S Coulter St Ste 2001
Amarillo, TX 79106-2521

Phone

(806) 351-7070

Fax

(806) 351-7079

NPI assigned

Sep 7, 2017

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

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, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Deaf Smith County Hospital District 48 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bluebonnet Home Health & Hospice Company Home health agency, Friona, TX, CCN 677617
• Interim Healthcare of Amarillo Home health agency, Amarillo, TX, CCN 459426
• Hereford Regional Medical Center Hospital, Hereford, TX, CCN 450155
• Bsa Hospital Hospital, Amarillo, TX, CCN 450231

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Deaf Smith County Hospital District

  • General Acute Care Hospital
  • Hereford, TX
  • NPI 1568454403

  TX

  Medicare reassignment Care Compare group NPD
• Deaf Smith County Hospital District

  • Family Medicine Physician
  • Hereford, TX
  • NPI 1811987027
  Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Bsa Hospital LLC

  • General Acute Care Hospital
  • Amarillo, TX
  • NPI 1407191984

  Hospital

  Care Compare affiliation
• Deaf Smith County Hospital District

  • General Acute Care Hospital
  • Hereford, TX
  • NPI 1568454403

  Hospital

  Care Compare affiliation
• Healthcare of West Texas LLC

  • Home Health Agency
  • Amarillo, TX
  • NPI 1437104221
  Care Compare affiliation
• West Texas Home Health, Inc.

  • Home Health Agency
  • Friona, TX
  • NPI 1598729915
  Care Compare affiliation

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

{
    "created_epoch": "1504742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583712000000",
    "number": "1265950414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3046",
            "address_2": "ATTN. IPM CREDENTIALING",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193550746",
            "telephone_number": "806-351-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S COULTER ST STE 2001",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062521",
            "telephone_number": "806-351-7070",
            "fax_number": "806-351-7079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEMBERTON",
        "first_name": "KATIE",
        "middle_name": "LOUISE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-07",
        "last_updated": "2020-03-09",
        "certification_date": "2020-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP134557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Merten Gene Pearson, DVM
• Paul C Pearson, D.P.M.
• Pedro R. Hernandez M.D. P.a.
• Wendy Ann Peeples, LPC
• Jereamiah Pemberton
• Pendergrass Wilkie Dentistry Partnership
• Tyler Lee Pendergrass, D.D.S.
• Joshua Chandler Penniman, MD
• Amandeep K Pentlia, DDS
• Anastacia Peralez

• All providers in Amarillo, TX
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2020; 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.