Catrina Bourne, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

23458 Issued in OK

Legal business name

CATRINA BOURNE, PLLC

Practice address

1820 Commons Cir
Suite a
Yukon, OK 73099-9518

Phone

(405) 265-2778

Fax

(405) 494-7274

NPI assigned

Jul 8, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Catrina Felice Bourne, M.D.NPI 1174562763

Title

Owner / Physician

Phone

(405) 919-3332

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Catrina F. Bourne, M.D.

  • Family Medicine Physician
  • Yukon, OK
  • NPI 1174562763
  NPD (past) Authorized official

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

{
    "created_epoch": "1467936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467936000000",
    "number": "1285086744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 STONEMILL BLVD",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730995770",
            "telephone_number": "405-919-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 COMMONS CIR",
            "address_2": "SUITE A",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730999518",
            "telephone_number": "405-265-2778",
            "fax_number": "405-494-7274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATRINA BOURNE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-08",
        "last_updated": "2016-07-08",
        "status": "A",
        "authorized_official_last_name": "BOURNE",
        "authorized_official_first_name": "CATRINA",
        "authorized_official_middle_name": "FELICE",
        "authorized_official_title_or_position": "OWNER / PHYSICIAN",
        "authorized_official_telephone_number": "405-919-3332",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "23458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Yukon, OK
• Providers in Yukon, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; 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.