Active NPI
Kathleen Marie Bockhold, MSN, ARNP-BC
- Adult Health Nurse Practitioner
- Germantown, TN
National Provider Identifier
1285808626
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 5965
- Practice address
- 1365 W Brierbrook Rd
Germantown, TN 38138-2208 - Phone
- (662) 349-9990
- Fax
- (662) 349-2620
- NPI assigned
- Apr 16, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 5965 | TN | Primary |
| Nurse Practitioner | 363L00000X | A810342 | MS |
Addresses
Primary practice location
1365 W Brierbrook Rd
Germantown, TN 38138-2208
Mailing address
122 Airways PL
Southaven, MS 38671-5872
Phone (662) 349-9990
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)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5965 | TN | MD | Radiologic Technologist |
| A810342 | MS | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Silver Continence Care - TN, LLC | Nurse Practitioner | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Nurse Practitioner
- Nashville, TN
- NPI 1851533830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284508800000",
"number": "1285808626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 AIRWAYS PL",
"city": "SOUTHAVEN",
"state": "MS",
"postal_code": "386715872",
"telephone_number": "662-349-9990",
"fax_number": "662-349-2620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1365 W BRIERBROOK RD",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381382208",
"telephone_number": "662-349-9990",
"fax_number": "662-349-2620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOCKHOLD",
"first_name": "KATHLEEN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MSN, ARNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-16",
"last_updated": "2010-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TN",
"license": "5965",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "MS",
"license": "A810342",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Germantown, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.