Katherine Nicole Hermann

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

TSLP12551 Issued in AZ

Practice address

8950 W Illini Rd
Tolleson, AZ 85353-4600

Phone

(623) 478-5005

NPI assigned

Jul 20, 2020

Last updated

Jul 20, 2020By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Scottsdale Pediatric Behavioral Services PLLC

  • Behavior Analyst
  • Scottsdale, AZ
  • NPI 1124577192
  NPD (past)

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595203200000",
    "number": "1326656091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 E BASELINE RD APT 2025",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850427432",
            "telephone_number": "314-952-8699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 W ILLINI RD",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853534600",
            "telephone_number": "623-478-5005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMANN",
        "first_name": "KATHERINE",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-07-20",
        "certification_date": "2020-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AZ",
            "license": "TSLP12551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ami M Hamblin, LPN
• Harmony Provider Care LLC
• Harper Health PLLC
• Megi Heltemes, PHARMD
• Jenipher Hensley, RN
• Samantha Hernandez
• Steven Hill
• Eugene Hnatiw
• Holyheight Care LLC
• Honorhealth-Fastmed Ambulatory Holdings LLC (HonorHealth FastMed Urgent Care)

• Student in an Organized Health Care Education/Training Program in Tolleson, AZ
• Providers in Tolleson, AZ by specialty
• Student in an Organized Health Care Education/Training Program in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; 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.