Individual provider Active NPI

Katherine Frances Wavering, FNP-BC

  • Family Nurse Practitioner
  • Rockwall, TX
National Provider Identifier
1295222149
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP137393 Issued in TX
Practice address
3140 Horizon Rd Ste 101
Rockwall, TX 75032-7816
Phone
(972) 772-5522
Fax
(469) 402-1565
NPI assigned
Apr 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP137393 TX Primary

Addresses

Primary practice location

3140 Horizon Rd Ste 101
Rockwall, TX 75032-7816

Mailing address

3140 Horizon Rd Ste 101
Rockwall, TX 75032-7816
Phone (972) 772-5522

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
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cloud Health Medical Group, P.a. 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.

NPI Registry JSON

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

{
    "created_epoch": "1523923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1295222149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 HORIZON RD STE 101",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750327816",
            "telephone_number": "972-772-5522",
            "fax_number": "469-402-1565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 HORIZON RD STE 101",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750327816",
            "telephone_number": "972-772-5522",
            "fax_number": "469-402-1565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAVERING",
        "first_name": "KATHERINE",
        "middle_name": "FRANCES",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-17",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP137393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.