Active NPI
Katherine Elizabeth Owen, PA C
- Physician Assistant
- Texarkana, TX
National Provider Identifier
1508896465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2129
- Practice address
- 5503 N State Line Ave
Texarkana, TX 75503-5303 - Phone
- (903) 794-7874
- Fax
- (903) 794-0741
- NPI assigned
- Jul 4, 2006
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2129 | CO | Primary |
Addresses
Primary practice location
5503 N State Line Ave
Texarkana, TX 75503-5303
Mailing address
5503 N State Line Ave
Texarkana, TX 75503-5303
Phone (903) 794-7874
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2129 | CO | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484179200000",
"number": "1508896465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5503 N STATE LINE AVE",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755035303",
"telephone_number": "903-794-7874",
"fax_number": "903-794-0741"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5503 N STATE LINE AVE",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755035303",
"telephone_number": "903-794-7874",
"fax_number": "903-794-0741"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWEN",
"first_name": "KATHERINE",
"middle_name": "ELIZABETH",
"name_prefix": "Ms.",
"credential": "PA C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-04",
"last_updated": "2017-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "2129",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Texarkana, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.