Katie Ann Brubaker, FNP-C

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4704290044 Issued in MI

Practice address

60005 Campground Rd
Suite 600
Washington, MI 48094-3445

Phone

(586) 372-3500

NPI assigned

Oct 28, 2016

Last updated

Dec 30, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/8209/brand/5/csg/21/fhir/r4
• Direct secure messaging: kbrubaker1119188@direct.hfhs.org
• Direct secure messaging: kbrubaker438479@direct.hfhs.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beyond Womens Care PC

  • Obstetrics & Gynecology Physician
  • Rochester Hills, MI
  • NPI 1740808799
  Medicare reassignment NPD
• Henry Ford Health Rochester Hospital

  • Nurse Practitioner
  • Rochester, MI
  • NPI 1427171511
  Medicare reassignment NPD
• Henry Ford Health Rochester Hospital

  • Family Medicine Physician
  • Rochester, MI
  • NPI 1184747263
  NPD
• Dermatology Center of Rochester Hills, P.C.

  • Dermatology Physician
  • Rochester, MI
  • NPI 1952516569
  NPD (past)

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

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1649722307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60005 CAMPGROUND RD",
            "address_2": "SUITE 600",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480943445",
            "telephone_number": "586-372-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60005 CAMPGROUND RD",
            "address_2": "SUITE 600",
            "city": "WASHINGTON",
            "state": "MI",
            "postal_code": "480943445",
            "telephone_number": "586-372-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRUBAKER",
        "first_name": "KATIE",
        "middle_name": "ANN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-28",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4704290044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Berger
• Bettermind Wellness LLC
• Kayla Bidus, AT, ATC
• Timothy James Blanchet, D.O.
• Joseph Bono
• Rebecca Elizabeth Bussell, FNP-C
• Brett W Butler, D.P.M.
• Dayna Calka
• Holly Campbell, LCSW
• Rachelle Kristen Campbell, LPC

• Internal Medicine Physician in Washington, MI
• Providers in Washington, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; 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.

Verify at the official NPI Registry.