Katrina Van Pelt, D.O.

Primary specialty

Forensic Pathology PhysicianTaxonomy code 207ZF0201X

License

DO3248 Issued in TN

Practice address

637 Poplar Ave
Memphis, TN 38105-4509

Phone

(901) 222-4600

NPI assigned

Jun 7, 2013

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

• Dr. Katrina Bowers Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665446400000",
    "number": "1750729125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381054509",
            "telephone_number": "901-222-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 POPLAR AVE",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381054509",
            "telephone_number": "901-222-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN PELT",
        "first_name": "KATRINA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-07",
        "last_updated": "2022-10-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZF0201X",
            "taxonomy_group": "",
            "desc": "Pathology, Forensic Pathology",
            "state": "TN",
            "license": "DO3248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "BOWERS",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Value Global Medical Services LLC
• Sheila C Vamplin, L.M.F.T.
• David Alan Van Alstine, MD
• Leigh Karen Van Duren, MD
• Taylor Van Fleet
• Trevor Van Vliet
• Jason M Vanatta, MD
• Aubrey Vanblaricom, BCBA
• Mari Kathryn Vanbuskirk, PHARMD
• Tara Nicole Vancleave, DO

• Forensic Pathology Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Forensic Pathology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.