Active NPI
Katherine James, PA
- Surgical Physician Assistant
- Memphis, TN
National Provider Identifier
1528420312
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 2975
- Practice address
- 877 Jefferson Ave
Memphis, TN 38103 - Phone
- (901) 545-7100
- NPI assigned
- Mar 22, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2975 | TN | |
| Surgical Physician Assistant | 363AS0400X | 2975 | TN | Primary |
Addresses
Primary practice location
877 Jefferson Ave
Memphis, TN 38103
Mailing address
877 Jefferson Ave
Memphis, TN 38103-2807
Phone (901) 545-6286
Other practice location 1
7945 Wolf River Blvd
Germantown, TN 38138-1762
Phone (901) 609-3520
Other practice location 2
7945 Wolf River Blvd
Germantown, TN 38138-1762
Phone (901) 609-3520
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2975 | TN | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530576000000",
"number": "1528420312",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "877 JEFFERSON AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381032807",
"telephone_number": "901-545-6286",
"fax_number": "901-545-8122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "877 JEFFERSON AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38103",
"telephone_number": "901-545-7100"
}
],
"practiceLocations": [
{
"address_1": "7945 Wolf River Blvd",
"address_purpose": "LOCATION",
"city": "Germantown",
"state": "TN",
"postal_code": "381381762",
"country_code": "US",
"telephone_number": "901-609-3520",
"fax_number": "901-266-6422",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7945 Wolf River Blvd",
"address_purpose": "LOCATION",
"city": "Germantown",
"state": "TN",
"postal_code": "381381762",
"country_code": "US",
"telephone_number": "901-609-3520",
"fax_number": "901-266-6422",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JAMES",
"first_name": "KATHERINE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-22",
"last_updated": "2018-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TN",
"license": "2975",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "TN",
"license": "2975",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; 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.