NPIMap

Individual provider Active NPI

Katherine T Coate, NP

  • Nurse Practitioner
  • Eagle, ID
National Provider Identifier
1619939451
Registry record updated Oct 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP276A Issued in ID
Practice address
600 E State St
Ste 200
Eagle, ID 83616-6081
Phone
(208) 367-4700
Fax
(208) 367-4705
NPI assigned
Apr 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP276A ID Primary

Addresses

Primary practice location

600 E State St
Ste 200
Eagle, ID 83616-6081

Mailing address

3340 E Goldstone Way
Meridian, ID 83642-1026
Phone (208) 367-4700

Other identifiers 3

IdentifierTypeStateIssuer
NPJA7OtherIDBLUE CROSS
004358500MedicaidID
000010135254OtherIDBLUE SHIELD

Other names 1

  • Katherine T Alkire Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100830000865 ID Practitioner - Nurse Practitioner 1153219282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morgan Family MedicineGroup PAC ID 3779814769, 4 clinicians

Practice addresses (Care Compare)

1660 S Woodsage Ave
BLDG a
Meridian, ID 83642-7670
Phone (208) 906-1231

Hospital & facility affiliations

  • St Luke'S Regional Medical Center Hospital, Boise, ID, CCN 130006
  • Saint Alphonsus Regional Medical Center Hospital, Boise, ID, CCN 130007
  • Saint Alphonsus Medical Center - Nampa Hospital, Nampa, ID, CCN 130013
  • St Luke'S McCall Hospital, McCall, ID, CCN 131312
  • Intermountain Medical Center Hospital, Murray, UT, CCN 460010

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP276AIDMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinic at Eagle LLC PastSince Mar 9, 2004 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: morganfamilymedicine.katherinecoates@153391.advancedmd-direct.com

Organizations & group practices 2

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.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380758400000",
    "number": "1619939451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 E GOLDSTONE WAY",
            "city": "MERIDIAN",
            "state": "ID",
            "postal_code": "836421026",
            "telephone_number": "208-367-4700",
            "fax_number": "208-367-4705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 E STATE ST",
            "address_2": "STE 200",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836166081",
            "telephone_number": "208-367-4700",
            "fax_number": "208-367-4705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COATE",
        "first_name": "KATHERINE",
        "middle_name": "T",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-05",
        "last_updated": "2013-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "NP276A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "NPJA7",
            "state": "ID"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004358500",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000010135254",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "ALKIRE",
            "middle_name": "T",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Eagle, ID

Sources for this page

Verify at the official NPI Registry.