Individual provider Active NPI

Katherine Michelle Blume, ARNP

  • Family Nurse Practitioner
  • Spokane, WA
National Provider Identifier
1497562052
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP61627328 Issued in WA
Practice address
220 E Rowan Ave Ste 300
Spokane, WA 99207-1203
Phone
(509) 489-3554
Fax
(509) 489-3558
NPI assigned
Dec 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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 AP61627328 WA Primary

Addresses

Primary practice location

220 E Rowan Ave Ste 300
Spokane, WA 99207-1203

Mailing address

617 S Arties LN
Spokane Valley, WA 99016-7754
Phone (208) 503-0967

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20241223001562 WA Practitioner - Nurse Practitioner 5991232407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Doctors Clinic of SpokaneGroup PAC ID 0042108136, 9 clinicians

Practice addresses (Care Compare)

220 E Rowan Ave
Suite 300
Spokane, WA 99207-1203
Phone (509) 489-3554

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP61627328WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Clinic of Spokane CurrentSince Dec 16, 2024 Accepting new patients

Locations

220 E Rowan Ave
Ste 300
Spokane, WA 99207
Phone (509) 489-3554

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": "1734307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734307200000",
    "number": "1497562052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 S ARTIES LN",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "990167754",
            "telephone_number": "208-503-0967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 E ROWAN AVE STE 300",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071203",
            "telephone_number": "509-489-3554",
            "fax_number": "509-489-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUME",
        "first_name": "KATHERINE",
        "middle_name": "MICHELLE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-16",
        "certification_date": "2024-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61627328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.