Individual provider Active NPI

Katherine L Dobie, CRNA

  • Certified Registered Nurse Anesthetist
  • Dyersburg, TN
National Provider Identifier
1407829419
Registry record updated May 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
10416 Issued in TN
Practice address
400 E Tickle St
Dyersburg, TN 38024-3120
Phone
(731) 285-2410
NPI assigned
Feb 9, 2006
Last updated
May 24, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X AP06325 LA
Certified Registered Nurse Anesthetist 367500000X 10416 TN Primary

Addresses

Primary practice location

400 E Tickle St
Dyersburg, TN 38024-3120

Mailing address

PO Box 501041
Saint Louis, MO 63150-0001
Phone (660) 826-5960

Other identifiers 2

IdentifierTypeStateIssuer
3632796MedicaidTN
P01827344OtherLARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110323000693 LA Practitioner - Certified Registered Nurse Anesthetist (Crna) 6002886686 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Anesthesia Care STPH LLCGroup PAC ID 0749255909, 65 clinicians

Practice addresses (Care Compare)

1202 S Tyler St
Covington, LA 70433-2330
Phone (985) 898-4583

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Anesthesia, Inc. CurrentSince Jun 15, 2017 Accepting new patients
Total Anesthesia Care STPH, LLC CurrentSince Feb 16, 2011 Accepting new patients
Youngs Professional Services LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 22, 2017 Accepting new patients
Galleria Anesthesia Associates, LLC CurrentSince Mar 1, 2025 Accepting new patients
Dyersburg Hospital Company LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Anesthesia Partners PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

120 Innwood Dr
Covington, LA 70433

1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743

67252 Industry Ln
Covington, LA 70433
Phone (985) 801-0259

1100 Andre St
Ste 300
New Iberia, LA 70563
Phone (337) 364-9225

989 Robert Blvd
Slidell, LA 70458
Phone (985) 690-8200

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495584000000",
    "number": "1407829419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 501041",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631500001",
            "telephone_number": "660-826-5960",
            "fax_number": "660-826-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E TICKLE ST",
            "city": "DYERSBURG",
            "state": "TN",
            "postal_code": "380243120",
            "telephone_number": "731-285-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBIE",
        "first_name": "KATHERINE",
        "middle_name": "L",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2017-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "LA",
            "license": "AP06325",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TN",
            "license": "10416",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3632796",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01827344",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dyersburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.