Katie Ann Wolter, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

32796 Issued in AL

Practice address

2901 Corporate Park Dr
Opelika, AL 36801-7283

Phone

(334) 203-1766

Fax

(334) 203-1784

NPI assigned

Jun 17, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Pediatric Associates of Auburn

  • Pediatric Adolescent Medicine Physician
  • Opelika, AL
  • NPI 1316099203
  NPD

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1669793220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 CORPORATE PARK DRIVE",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368017283",
            "telephone_number": "334-203-1766",
            "fax_number": "334-203-1784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 CORPORATE PARK DR",
            "city": "OPELIKA",
            "state": "AL",
            "postal_code": "368017283",
            "telephone_number": "334-203-1766",
            "fax_number": "334-203-1784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLTER",
        "first_name": "KATIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-17",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AL",
            "license": "32796",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164807",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF AL",
            "identifier": "511-52839",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Darlene Wilson, NP
• Trenton J. Wilson, M.D.
• Emanda Wimberly, LICSW
• Litonya Wimbish
• Kimberly Scarlett Witt, PHARM.D.
• Women's Healthcare of Opelika
• Ashley Wood
• Charley Woodall, CAA
• Travis Woodley, CRNP
• Glenn M Woods, MD

• Pediatrics Physician in Opelika, AL
• Providers in Opelika, AL by specialty
• Pediatrics Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.