Active NPI
Katharine C Rathbun, M.D.
- Family Medicine Physician
- Baton Rouge, LA
National Provider Identifier
1477586592
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 14434R
- Practice address
- 3808 Twelve Oaks Ave
Baton Rouge, LA 70820-2000 - Phone
- (225) 819-9242
- NPI assigned
- Jul 9, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 14434R | LA | Primary |
Addresses
Primary practice location
3808 Twelve Oaks Ave
Baton Rouge, LA 70820-2000
Mailing address
3808 Twelve Oaks Ave
Baton Rouge, LA 70820-2000
Phone (225) 819-9242
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134261 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171227001915 | MD | Practitioner - Family Practice | 1850479320 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14434R | LA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chase Brexton Health Services, Inc. | Current | Accepting new patients | |
| Chase Brexton Health Services, Inc. | Current | Accepting new patients | |
| Professional Emergency Physician Associates, LLC | Past | Accepting new patients |
Locations
1111 N Charles St
Baltimore, MD 21201
Phone (410) 486-5991
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Baltimore, MD
- NPI 1588606305
MD
-
- Federally Qualified Health Center (FQHC)
- Columbia, MD
- NPI 1376589309
-
- Emergency Medicine Physician
- Baton Rouge, LA
- NPI 1992758247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444694400000",
"number": "1477586592",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3808 TWELVE OAKS AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708202000",
"telephone_number": "225-819-9242",
"fax_number": "225-819-9558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3808 TWELVE OAKS AVE",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708202000",
"telephone_number": "225-819-9242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATHBUN",
"first_name": "KATHARINE",
"middle_name": "C",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-09",
"last_updated": "2015-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "14434R",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1134261",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2015; 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.