Katherine Nicole Bastie, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

T8761 Issued in TX

Practice address

9200 Pinecroft Dr Ste 465
Shenandoah, TX 77380-3285

Phone

(832) 562-2009

Fax

(832) 562-2007

NPI assigned

Apr 6, 2020

Last updated

Jun 14, 2023By 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 2

Addresses

Other names 1

• Katherine Nicole Konstans Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: katherine.bastie@blu.eclinicaldirectplus.com

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.

• Blue Fish Pediatrics, L.L.P.

  • Pediatrics Physician
  • Houston, TX
  • NPI 1891884508
  NPD (past)

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

{
    "created_epoch": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1720617319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9200 PINECROFT DR STE 465",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803285",
            "telephone_number": "832-562-2009",
            "fax_number": "832-562-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 PINECROFT DR STE 465",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803285",
            "telephone_number": "832-562-2009",
            "fax_number": "832-562-2007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASTIE",
        "first_name": "KATHERINE",
        "middle_name": "NICOLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-06",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "T8761",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "T8761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "KONSTANS",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ursula Liliana Barreto
• Makayla Barrios
• Mark A Barros, M.D.
• Barry Kienholz Hearing Aid Centers
• Francesca A Bassoo, DPT
• Caroline Bates, SLP
• Olivia Bauer, MA, LPC-A
• Andrew Bauerle, LPC-ASSOCIATE
• Candace Hebert Baumgardner, OTD, OTR
• Harjaneet Singh Bedi, M.D..

• Pediatrics Physician in Shenandoah, TX
• Providers in Shenandoah, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.