Katherine Thomas

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9097 Issued in CT

Practice address

13 Peck St
North Haven, CT 06473-2308

Phone

(203) 239-4627

Fax

(203) 234-8533

NPI assigned

Aug 21, 2020

Last updated

Aug 21, 2020By 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

Other names 1

• Katherine Dostal Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Pediatrics Plus PC

  • Pediatrics Physician
  • North Haven, CT
  • NPI 1386837029
  NPD (past)

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

{
    "created_epoch": "1597968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1689286510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 PECK ST",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732308",
            "telephone_number": "203-239-4627",
            "fax_number": "203-234-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 PECK ST",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732308",
            "telephone_number": "203-239-4627",
            "fax_number": "203-234-8533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "KATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-21",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "9097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "DOSTAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• The Diaper Bank of Connecticut, Inc. (The Diaper Bank)
• The Livin' Room; 'Let US Together Make Room for Living', LLC
• The Stop & Shop Supermarket Company LLC (Stop and Shop Pharmacy #694)
• Therapy Bardo LLC
• Jordan Theriault
• Sunil Raj Thomas, M.D.
• Julie Thompson, PA-C
• Michel Antoinette Thompson
• Michael Alan Thorns, LAC
• Thoughts of Peace, LLC

• Family Nurse Practitioner in North Haven, CT
• Providers in North Haven, CT by specialty
• Family Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; 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.