Katherine Wells

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN244224 Issued in GA

Practice address

4608 Mountain Creek Dr NE
Roswell, GA 30075-4037

Phone

(470) 991-7156

NPI assigned

Apr 3, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• KRN Services LLC

  • Nursing Care Agency
  • Roswell, GA
  • NPI 1144782418
  NPD (past) Authorized official

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554336000000",
    "number": "1467914929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4608 MOUNTAIN CREEK DR NE",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300754037",
            "telephone_number": "470-991-7156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4608 MOUNTAIN CREEK DR NE",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300754037",
            "telephone_number": "470-991-7156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN244224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellcare, LLC
• Wellington Healthcare Billing, L.P.
• Wellness for the Ageless Woman, Inc
• Wellness IV Spa & Medical Weight Loss Center
• Wellnessone of Roswell
• Wellspring Counseling Center
• Wellstar Medical Group, LLC
• Wellstar Medical Group, LLC
• Wellstar North Fulton Hospital, Inc
• Wellstar North Fulton Hospital, Inc

• All providers in Roswell, GA
• Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.