Individual provider Active NPI

Katie Bee Ashburn, MSN-FNP

  • Family Nurse Practitioner
  • Philadelphia, PA
National Provider Identifier
1467687004
Registry record updated Oct 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP010237 Issued in PA
Practice address
111 S 11TH St
Suite 6270, Gibbon BLDG
Philadelphia, PA 19107-4824
Phone
(215) 955-0574
Fax
(215) 923-0835
NPI assigned
May 27, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP010237 PA Primary

Addresses

Primary practice location

111 S 11TH St
Suite 6270, Gibbon BLDG
Philadelphia, PA 19107-4824

Mailing address

111 S 11TH St
Suite 6270, Gibbon BLDG
Philadelphia, PA 19107-4824
Phone (215) 955-0574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110613000720 PA Practitioner - Nurse Practitioner 5698952901 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
SP010237PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vascular Surgical Specialists PLLC CurrentSince Oct 1, 2020 Accepting new patients

Locations

1450 E Boot Rd
Ste 600B
West Chester, PA 19380
Phone (610) 692-6787

1450 E Boot Rd
Ste 700A
West Chester, PA 19380
Phone (610) 430-8272

Organizations & group practices 1

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": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381795200000",
    "number": "1467687004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S 11TH ST",
            "address_2": "SUITE 6270, GIBBON BLDG",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074824",
            "telephone_number": "215-955-0574",
            "fax_number": "215-923-0835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S 11TH ST",
            "address_2": "SUITE 6270, GIBBON BLDG",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191074824",
            "telephone_number": "215-955-0574",
            "fax_number": "215-923-0835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHBURN",
        "first_name": "KATIE",
        "middle_name": "BEE",
        "credential": "MSN-FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-27",
        "last_updated": "2013-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP010237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.