Individual provider Active NPI

Katy Marie Choulramountry, FNP

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1730723859
Registry record updated Feb 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP143241 Issued in TX
Practice address
10640 Steppington Dr Apt 3106
Dallas, TX 75230-4620
Phone
(469) 660-4606
NPI assigned
Oct 31, 2019
Last updated
Feb 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP143241 TX Primary
Registered Nurse 163W00000X 758063 TX

Addresses

Primary practice location

10640 Steppington Dr Apt 3106
Dallas, TX 75230-4620

Mailing address

1134 Cascade Ave
Dallas, TX 75224-1229
Phone (469) 660-4606

Other identifiers 2

IdentifierTypeStateIssuer
F08190802OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS
AP143241OtherTXTEXAS BOARD OF NURSING

Other names 1

  • Mrs. Katy Marie Bewley Former 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
758063TXMDRegistered Nurse
AP143241TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1572480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708128000000",
    "number": "1730723859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1134 CASCADE AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752241229",
            "telephone_number": "469-660-4606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10640 STEPPINGTON DR APT 3106",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752304620",
            "telephone_number": "469-660-4606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOULRAMOUNTRY",
        "first_name": "KATY",
        "middle_name": "MARIE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-31",
        "last_updated": "2024-02-17",
        "certification_date": "2024-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143241",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "758063",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS",
            "identifier": "F08190802",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS BOARD OF NURSING",
            "identifier": "AP143241",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATY",
            "last_name": "BEWLEY",
            "middle_name": "MARIE",
            "prefix": "MRS.",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 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.