Individual provider Active NPI

Katie Carr Bostrom, APN, RNC, NNP

  • Critical Care Neonatal Nurse Practitioner
  • Nashville, TN
National Provider Identifier
1770762163
Registry record updated Nov 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Neonatal Nurse PractitionerTaxonomy code 363LN0005X
License
8053 Issued in TN
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

Updated by the provider on Nov 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
8053TNMDCritical Care Neonatal Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: 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.

Verify at the official NPI Registry.