Katherine Bowen Rasmussen, NP

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

4704281038 Issued in MI

Practice address

655 Kenmoor Ave SE Ste 201
Grand Rapids, MI 49546-8622

Phone

(616) 920-0825

NPI assigned

Oct 2, 2006

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

Other identifiers 1

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

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: katherine.rasmussen@91098514915332.direct.elationemr.com

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.

• Breast Health & Wellness Center PC

  • Surgery Physician
  • Grand Rapids, MI
  • NPI 1710378989
  Medicare reassignment NPD
• Trinity Health Grand Haven Hospital

  • General Acute Care Hospital
  • Grand Haven, MI
  • NPI 1942379284
  Medicare reassignment NPD

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1659464766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18566 SHAWNEE DR",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494569417",
            "telephone_number": "616-502-6447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 KENMOOR AVE SE STE 201",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495468622",
            "telephone_number": "616-920-0825"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2595 Interstate Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171109378",
            "country_code": "US",
            "telephone_number": "650-285-6927",
            "fax_number": "888-352-7383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2345 Rice St Ste 230",
            "address_purpose": "LOCATION",
            "city": "Roseville",
            "state": "MN",
            "postal_code": "551133769",
            "country_code": "US",
            "telephone_number": "650-285-6927",
            "fax_number": "888-352-7383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2710 Gateway Oaks Dr Ste 150N",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958333502",
            "country_code": "US",
            "telephone_number": "650-285-6927",
            "fax_number": "888-352-7383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 Hays St",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323012699",
            "country_code": "US",
            "telephone_number": "650-285-6927",
            "fax_number": "888-352-7383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 Abbot Rd",
            "address_purpose": "LOCATION",
            "city": "East Lansing",
            "state": "MI",
            "postal_code": "488233366",
            "country_code": "US",
            "telephone_number": "650-285-6927",
            "fax_number": "888-352-7383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "951 Mariners Island Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "San Mateo",
            "state": "CA",
            "postal_code": "944041560",
            "country_code": "US",
            "telephone_number": "650-285-6927",
            "fax_number": "888-352-7383",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASMUSSEN",
        "first_name": "KATHERINE",
        "middle_name": "BOWEN",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MI",
            "license": "4704281038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "4704281038",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyle A Rasikas, M.D.
• Madison Raske
• Shahm Wasim Raslan, MD
• Cara Michele Rasmussen, AU D
• Dawn Rasmussen, MSW LMSW
• Monica Rasmussen, D.C.
• Samantha Kay Rastall
• Rita S Ratani, M.D.
• Erik M Ratchford, D.O.
• Bonnie Rath

• Women's Health Nurse Practitioner in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Women's Health Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; 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.