Active NPI
Debra Annette Katcher, M.D.
- Pediatrics Physician
- Shawnee, OK
National Provider Identifier
1457391518
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 17281
- Practice address
- 1710 Wildwood
Shawnee, OK 74804-1807 - Phone
- (405) 275-9408
- NPI assigned
- Jun 7, 2006
- Last updated
- Dec 21, 2007
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 17281 | OK | Primary |
Addresses
Primary practice location
1710 Wildwood
Shawnee, OK 74804-1807
Mailing address
1710 Wildwood
Shawnee, OK 74804-1807
Phone (405) 275-9408
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17281 | OK | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198195200000",
"number": "1457391518",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1710 WILDWOOD",
"city": "SHAWNEE",
"state": "OK",
"postal_code": "748041807",
"telephone_number": "405-275-9408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 WILDWOOD",
"city": "SHAWNEE",
"state": "OK",
"postal_code": "748041807",
"telephone_number": "405-275-9408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATCHER",
"first_name": "DEBRA",
"middle_name": "ANNETTE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-07",
"last_updated": "2007-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OK",
"license": "17281",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shawnee, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.