Active NPI
Katie Bean, DMS, PA-C, MHS PA
- Medical Physician Assistant
- Clifton Park, NY
National Provider Identifier
1497044671
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 1953
- Practice address
- 1694 Route 9
Clifton Park, NY 12065 - Phone
- (518) 930-7486
- NPI assigned
- Mar 28, 2011
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 1953 | TN | Primary |
Addresses
Primary practice location
1694 Route 9
Clifton Park, NY 12065
Mailing address
324 Crestview Rd
Knoxville, TN 37934-3913
Phone (407) 353-8865
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Summit Medical Group, PLLC | Current | Accepting new patients | |
| Summit Medical Group, PLLC | Current | Accepting new patients | |
| Sparrow Emergency Physicians PLLC | Past | Accepting new patients | |
| Cane Ridge Emergency Physicians LLC | Past | Accepting new patients |
Locations
1225 E Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (865) 938-3627
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Brentwood, TN
- NPI 1659090298
-
- Family Medicine Physician
- Powell, TN
- NPI 1740351196
-
- Emergency Medicine Physician
- Smyrna, TN
- NPI 1275815433
-
- Emergency Medicine Physician
- Knoxville, TN
- NPI 1225408339
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712188800000",
"number": "1497044671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "324 CRESTVIEW RD",
"city": "KNOXVILLE",
"state": "TN",
"postal_code": "379343913",
"telephone_number": "407-353-8865"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1694 ROUTE 9",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "12065",
"telephone_number": "518-930-7486"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BEAN",
"first_name": "KATIE",
"credential": "DMS, PA-C, MHS PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-28",
"last_updated": "2024-04-04",
"certification_date": "2024-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "TN",
"license": "1953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clifton Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.