Individual provider Active NPI

Katherine Laytham, NP

  • Family Nurse Practitioner
  • Carthage, MO
National Provider Identifier
1750995759
Registry record updated Sep 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2020010794 Issued in MO
Practice address
433 S Garrison Ave
Carthage, MO 64836-1749
Phone
(417) 359-8646
NPI assigned
Sep 7, 2020
Last updated
Sep 7, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2020010794 MO Primary

Addresses

Primary practice location

433 S Garrison Ave
Carthage, MO 64836-1749

Mailing address

1621 Missouri Ave
Carthage, MO 64836-3060
Phone (417) 412-0092

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201125000341 MO Practitioner - Nurse Practitioner 0941611818 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

433 S Garrison Ave
American Medical Missouri
Carthage, MO 64836-1749
Phone (417) 359-8646

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
2020010794MOMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
McPherson Medical & Diagnostic, LLC Current Accepting new patients
McPherson Medical & Diagnostic, LLC CurrentSince Sep 4, 2023 Accepting new patients
Sacry Family Medicine PC CurrentSince Sep 10, 2020 Accepting new patients
McPherson Medical & Diagnostic LLC CurrentSince Sep 4, 2023 Accepting new patients
McPherson Medical & Diagnostic, LLC Past Accepting new patients

Locations

211 E Chestnut St
Carthage, MO 64836
Phone (417) 359-8646

433 S Garrison Ave
Carthage, MO 64836
Phone (417) 358-8121

216 W Main St
Steele, MO 63877
Phone (573) 695-2181

216 W Main St
Ste B
Steele, MO 63877
Phone (573) 695-2181

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EHJFAA

Organizations & group practices 5

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1599436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599436800000",
    "number": "1750995759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1621 MISSOURI AVE",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648363060",
            "telephone_number": "417-412-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 S GARRISON AVE",
            "city": "CARTHAGE",
            "state": "MO",
            "postal_code": "648361749",
            "telephone_number": "417-359-8646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYTHAM",
        "first_name": "KATHERINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-07",
        "last_updated": "2020-09-07",
        "certification_date": "2020-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2020010794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carthage, MO

Sources for this page

Verify at the official NPI Registry.