Active NPI
Kathryn Grace Ogletree, LMSW
- Social Worker
- Memphis, TN
National Provider Identifier
1366062887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 10997
- Practice address
- 661 Madison Ave
Memphis, TN 38103-3307 - Phone
- (901) 267-4008
- NPI assigned
- Apr 24, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 10997 | TN | Primary |
Addresses
Primary practice location
661 Madison Ave
Memphis, TN 38103-3307
Mailing address
7978 Cedar Lake Dr
Germantown, TN 38138-6006
Phone (901) 921-2027
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7421 | TN | MD | Dentist |
| 10997 | TN | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1587686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1587686400000",
"number": "1366062887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7978 CEDAR LAKE DR",
"city": "GERMANTOWN",
"state": "TN",
"postal_code": "381386006",
"telephone_number": "901-921-2027"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "661 MADISON AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381033307",
"telephone_number": "901-267-4008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OGLETREE",
"first_name": "KATHRYN",
"middle_name": "GRACE",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-24",
"last_updated": "2020-04-24",
"certification_date": "2020-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TN",
"license": "10997",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.