Katherine King, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

33215 Issued in TN

Practice address

1222 Medical Center Dr
Columbia, TN 38401-6402

Phone

(931) 490-1500

NPI assigned

Dec 22, 2022

Reactivated

Jul 6, 2023

Last updated

Jul 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Omni Community Health, Inc.

  • Community/Behavioral Health Agency
  • Knoxville, TN
  • NPI 1881024172
  Medicare reassignment NPD
• Mind Mend Psychiatric Services, PLLC

  • Psychiatric/Mental Health Registered Nurse
  • Pulaski, TN
  • NPI 1447002001
  NPD Authorized official
• The Solution Source, LLC.

  • Community/Behavioral Health Agency
  • Oneida, TN
  • NPI 1730464868
  NPD (past)

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

{
    "created_epoch": "1671667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688601600000",
    "number": "1467164392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 OAK GROVE RD",
            "city": "GOODSPRING",
            "state": "TN",
            "postal_code": "384605362",
            "telephone_number": "931-309-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1222 MEDICAL CENTER DR",
            "city": "COLUMBIA",
            "state": "TN",
            "postal_code": "384016402",
            "telephone_number": "931-490-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "KATHERINE",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-22",
        "last_updated": "2023-07-06",
        "certification_date": "2023-07-06",
        "deactivation_date": "2023-06-21",
        "reactivation_date": "2023-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "33215",
            "primary": true
        },
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "TN",
            "license": "238184",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN BON RN",
            "identifier": "238184",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC",
            "identifier": "2022137775",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN BON APRN",
            "identifier": "33215",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenny Rebecca Kim, DC
• Kelsey King-Hook, MD
• Clara King
• Jared King, PTA
• Kase Lee King, BSW
• Mary Elizabeth King
• Shawna Rae King
• Kathy Kingsmore Knox
• Haley Kingston, MS, CCC-SLP
• Cynthia J Kington, PT

• Psychiatric/Mental Health Nurse Practitioner in Columbia, TN
• Providers in Columbia, TN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2023; 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.

Verify at the official NPI Registry.