Active NPI
Katelyn Weatherford, APRN
- Acute Care Nurse Practitioner
- Plano, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- AP1012352
- Practice address
- 6124 W Parker Rd Ste 530
Plano, TX 75093-8140 - Phone
- (214) 778-1075
- NPI assigned
- Sep 9, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | RN876768 | TX | |
| Gerontology Nurse Practitioner | 363LG0600X | AP1012352 | TX | |
| Acute Care Nurse Practitioner | 363LA2100X | AP1012352 | TX | Primary |
Addresses
Primary practice location
6124 W Parker Rd Ste 530
Plano, TX 75093-8140
Mailing address
6124 W Parker Rd Ste 530
Plano, TX 75093-8140
Phone (214) 778-1075
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP1012352 | Other | TX | LICENSE |
| RN876768 | Other | TX | LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | N/A | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN876768 | TX | MD | Critical Care Medicine Registered Nurse |
| AP1012352 | TX | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| Cogent Healthcare of Texas, PA | Current | Accepting new patients | |
| Peterson Wellness Primary Care and Pediatrics, PLLC | Current | Accepting new patients | |
| The University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients |
Locations
2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563
6201 Harry Hines Blvd
Dallas, TX 75235
Phone (214) 633-4700
8220 Walnut Hill Ln
Ste 408
Dallas, TX 75231
Phone (214) 361-9777
8200 Walnut Hill Ln
Dallas, TX 75231
Phone (214) 345-6148
3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591
6124 W Parker Rd
Ste 530
Plano, TX 75093
Phone (214) 778-1075
2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
Interoperability endpoints
- https://api.platform.athenahealth.com/24551/brand/1/csg/1/fhir/r4
- katelyn.weatherford.1@24551.direct.athenahealth.com
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1992722953
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942270566
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1396832713
-
- Primary Care Clinic/Center
- Broken Arrow, OK
- NPI 1851062517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599609600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599609600000",
"number": "1376158279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6124 W PARKER RD STE 530",
"city": "PLANO",
"state": "TX",
"postal_code": "750938140",
"telephone_number": "214-778-1075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6124 W PARKER RD STE 530",
"city": "PLANO",
"state": "TX",
"postal_code": "750938140",
"telephone_number": "214-778-1075"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEATHERFORD",
"first_name": "KATELYN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-09-09",
"last_updated": "2020-09-09",
"certification_date": "2020-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "TX",
"license": "RN876768",
"primary": false
},
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "TX",
"license": "AP1012352",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "AP1012352",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "AP1012352",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "RN876768",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "N/A",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "N/A",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "N/A",
"address_1": "6124 W Parker Rd Ste 530",
"city": "Plano",
"state": "TX",
"country_code": "US",
"postal_code": "750938140",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.