Individual provider Active NPI

Kathryn Elaine Abrahamson, MS, WHNP-BC, RN

  • Women's Health Nurse Practitioner
  • Ft Worth, TX
National Provider Identifier
1700105301
Registry record updated Feb 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
629871 Issued in TX
Practice address
709 W Leuda St
Ft Worth, TX 76104-3115
Phone
(817) 926-2511
Fax
(817) 924-0167
NPI assigned
May 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 629871 TX Primary

Addresses

Primary practice location

709 W Leuda St
Ft Worth, TX 76104-3115

Mailing address

709 W Leuda St
Ft Worth, TX 76104-3115
Phone (817) 926-2511

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
Credentials
Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
629871TXMDWomen's Health Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: kathryn.abrahamson.1@8511.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1274400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361145600000",
    "number": "1700105301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 W LEUDA ST",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761043115",
            "telephone_number": "817-926-2511",
            "fax_number": "817-924-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 W LEUDA ST",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761043115",
            "telephone_number": "817-926-2511",
            "fax_number": "817-924-0167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABRAHAMSON",
        "first_name": "KATHRYN",
        "middle_name": "ELAINE",
        "credential": "MS, WHNP-BC, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-21",
        "last_updated": "2013-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "629871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ft Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; 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.