Individual provider Active NPI

Katherine Marie McKowell, FNP-BC

  • Family Nurse Practitioner
  • Ypsilanti, MI
National Provider Identifier
1669920773
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4704269746 Issued in MI
Practice address
111 S Wallace Blvd
Ypsilanti, MI 48197-4644
Phone
(734) 550-2016
NPI assigned
Sep 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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 4704269746 MI Primary

Addresses

Primary practice location

111 S Wallace Blvd
Ypsilanti, MI 48197-4644

Mailing address

111 S Wallace Blvd
Ypsilanti, MI 48197-4644
Phone (734) 550-2016

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4704269746MIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Our House Current Accepting new patients

Locations

111 S Wallace Blvd
Ypsilanti, MI 48197
Phone (734) 255-7466

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": "1474156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1669920773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 S WALLACE BLVD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481974644",
            "telephone_number": "734-550-2016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 S WALLACE BLVD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481974644",
            "telephone_number": "734-550-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKOWELL",
        "first_name": "KATHERINE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-18",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704269746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.