Individual provider Active NPI

Katherine D Dolman, MSN, ACNP-BC

  • Acute Care Nurse Practitioner
  • Sherman, TX
National Provider Identifier
1376587121
Registry record updated Jun 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
508052 Issued in TX
Practice address
1000 Sara Swamy Dr
Sherman, TX 75090-3112
Phone
(903) 718-0913
Fax
(972) 625-7064
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 508052 TX Primary

Addresses

Primary practice location

1000 Sara Swamy Dr
Sherman, TX 75090-3112

Mailing address

PO Box 1228
Denison, TX 75021-1228
Phone (903) 718-0913

Other identifiers 4

IdentifierTypeStateIssuer
8Y0638OtherTXBLUE CROSS BLUE SHIELD
1760514-01MedicaidTX
8Y0639OtherTXBLUE CROSS BLUE SHIELD
NP7265OtherTXBLUE CROSS/BLUE SHIELD

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

Practice roles

OrganizationSpecialtyStatusNew patients
Republic Hospitalists Services PLLC Past Accepting new patients
Republic Emergency Services PA Past Accepting new patients

Organizations & group practices 2

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403568000000",
    "number": "1376587121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1228",
            "city": "DENISON",
            "state": "TX",
            "postal_code": "750211228",
            "telephone_number": "903-718-0913",
            "fax_number": "972-625-7064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SARA SWAMY DR",
            "city": "SHERMAN",
            "state": "TX",
            "postal_code": "750903112",
            "telephone_number": "903-718-0913",
            "fax_number": "972-625-7064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLMAN",
        "first_name": "KATHERINE",
        "middle_name": "D",
        "credential": "MSN, ACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2014-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "508052",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8Y0638",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1760514-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8Y0639",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "NP7265",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherman, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2014; 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.