Individual provider Active NPI

Katherine Audette, APRN

  • Adult Psychiatric/Mental Health Registered Nurse
  • Saint Louis, MO
National Provider Identifier
1720137383
Registry record updated Jun 13, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
081329 Issued in MO
Practice address
515 North Jefferson
VA Hope Recovery Center
Saint Louis, MO 63103
Phone
(314) 609-9248
Fax
(314) 289-6543
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 109 MO
Addiction (Substance Use Disorder) Counselor 101YA0400X 1307 MO
Registered Nurse 163W00000X 041248420 IL
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 081329 MO Primary

Addresses

Primary practice location

515 North Jefferson
VA Hope Recovery Center
Saint Louis, MO 63103

Mailing address

2127 Seven Pines Dr
Saint Louis, MO 63146-2215
Phone (314) 609-9248

Other names 1

  • Ms. Katherine Audette Professional name

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)
Enrolled
Credentials
Certified Nurse Specialist

State licenses

LicenseStateTypeSpecialty
109MOMDCounselor
1307MOMDAddiction (Substance Use Disorder) Counselor
041248420ILMDRegistered Nurse
081329MOMDAdult Psychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Psychiatric Services Past Accepting new patients
Advanced Psychiatric Services Inc PastSince Jun 16, 2014 Accepting new patients

Organizations & group practices 2

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": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402617600000",
    "number": "1720137383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2127 SEVEN PINES DR",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631462215",
            "telephone_number": "314-609-9248",
            "fax_number": "314-289-6543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 NORTH JEFFERSON",
            "address_2": "VA HOPE RECOVERY CENTER",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "63103",
            "telephone_number": "314-609-9248",
            "fax_number": "314-289-6543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUDETTE",
        "first_name": "KATHERINE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-10",
        "last_updated": "2014-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "MO",
            "license": "109",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MO",
            "license": "1307",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041248420",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "MO",
            "license": "081329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "AUDETTE",
            "prefix": "MS.",
            "credential": "APRN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Saint Louis, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2014; 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.