Active NPI
Katie Carr Bostrom, APN, RNC, NNP
- Critical Care Neonatal Nurse Practitioner
- Nashville, TN
National Provider Identifier
1770762163
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Neonatal Nurse Practitioner
- License
- 8053
- Practice address
- 2300 Patterson St
Nashville, TN 37203-1538 - Phone
- (615) 342-4660
- Fax
- (615) 342-4662
- NPI assigned
- Nov 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | 8053 | TN | Primary |
Addresses
Primary practice location
2300 Patterson St
Nashville, TN 37203-1538
Mailing address
818 West Bluff Road
Cloudland, GA 30731
Phone (423) 505-4228
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8053 | TN | MD | Critical Care Neonatal Nurse Practitioner |
Interoperability endpoints
- kbostrom19050@hhcs.direct-ci.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193875200000",
"number": "1770762163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "818 WEST BLUFF ROAD",
"city": "CLOUDLAND",
"state": "GA",
"postal_code": "30731",
"telephone_number": "423-505-4228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 PATTERSON ST",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031538",
"telephone_number": "615-342-4660",
"fax_number": "615-342-4662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSTROM",
"first_name": "KATIE",
"middle_name": "CARR",
"credential": "APN, RNC, NNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-01",
"last_updated": "2007-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "TN",
"license": "8053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.