Individual provider Active NPI

Katherine E McPhee, NP

  • Family Nurse Practitioner
  • Fulton, NY
National Provider Identifier
1609331644
Registry record updated Feb 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F343674 Issued in NY
Practice address
21 N 2ND St
Fulton, NY 13069-1250
Phone
(315) 598-7105
Fax
(315) 598-4857
NPI assigned
Feb 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2019

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 F343674 NY Primary

Addresses

Primary practice location

21 N 2ND St
Fulton, NY 13069-1250

Mailing address

21 N 2ND St
Fulton, NY 13069-1250
Phone (315) 598-7105

Other practice location 1

3070 Belgium Rd
Baldwinsville, NY 13027-9546
Phone (315) 635-5700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20190325001175 NY Practitioner - Nurse Practitioner 8921348236 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F343674NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northway Medical Associates, PLLC CurrentSince Feb 15, 2019 Accepting new patients

Locations

3070 Belgium Rd
Baldwinsville, NY 13027
Phone (315) 635-5700

21 N 2nd St
Fulton, NY 13069
Phone (315) 564-7085

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": "1549238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549238400000",
    "number": "1609331644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 N 2ND ST",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130691250",
            "telephone_number": "315-598-7105",
            "fax_number": "315-598-4857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 N 2ND ST",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130691250",
            "telephone_number": "315-598-7105",
            "fax_number": "315-598-4857"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3070 Belgium Rd",
            "address_purpose": "LOCATION",
            "city": "Baldwinsville",
            "state": "NY",
            "postal_code": "130279546",
            "country_code": "US",
            "telephone_number": "315-635-5700",
            "fax_number": "315-635-5313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCPHEE",
        "first_name": "KATHERINE",
        "middle_name": "E",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F343674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulton, NY

Sources for this page

Verify at the official NPI Registry.