Active NPI
Katharine McDowell Clemmer, MD
- Family Medicine Physician
- Nicholasville, KY
National Provider Identifier
1386149128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 55592
- Practice address
- 110 Village Pkwy
Nicholasville, KY 40356-2327 - Phone
- (859) 867-8400
- Fax
- (859) 885-8448
- NPI assigned
- Mar 26, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R4704 | KY | |
| Family Medicine Physician | 207Q00000X | 55592 | KY | Primary |
Addresses
Primary practice location
110 Village Pkwy
Nicholasville, KY 40356-2327
Mailing address
1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-6200
Other names 1
- Katharine McDowell Freeman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210816003830 | KY | Practitioner - Family Practice | 2769719145 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of Kentucky College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- New Lexington Clinic PSC
Practice addresses (Care Compare)
110 Village Pkwy
Nicholasville, KY 40356-2327
Phone (859) 887-2484
Hospital & facility affiliations
- Vna Health at Home
- Saint Joseph Hospital
- Baptist Health Lexington
- Saint Joseph East
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R4704 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Lexington Clinic PSC | Current | Accepting new patients | |
| New Lexington Clinic, PSC | Current | Accepting new patients |
Locations
1221 S Broadway
Lexington, KY 40504
Phone (859) 258-4181
110 Village Pkwy
Nicholasville, KY 40356
Phone (859) 887-2484
Interoperability endpoints
- katharine.clemmer.1@13059.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Ambulatory Surgical Clinic/Center
- Lexington, KY
- NPI 1093595696
-
- Clinical Medical Laboratory
- Lexington, KY
- NPI 1144321951
-
- Ambulatory Surgical Clinic/Center
- Lexington, KY
- NPI 1881789964
-
- Clinical Medical Laboratory
- Lexington, KY
- NPI 1285409425
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Lexington, KY
- NPI 1083863286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630454400000",
"number": "1386149128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1221 S BROADWAY",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405042701",
"telephone_number": "859-258-6200",
"fax_number": "859-258-6203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 VILLAGE PKWY",
"city": "NICHOLASVILLE",
"state": "KY",
"postal_code": "403562327",
"telephone_number": "859-867-8400",
"fax_number": "859-885-8448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMMER",
"first_name": "KATHARINE",
"middle_name": "MCDOWELL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-26",
"last_updated": "2021-09-01",
"certification_date": "2021-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "R4704",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "55592",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KATHARINE",
"last_name": "FREEMAN",
"middle_name": "MCDOWELL",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Nicholasville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.