NPIMap

Individual provider Active NPI

Katie Fitzpatrick Bokelman, D.O.

  • Pediatrics Physician
  • Pensacola, FL
National Provider Identifier
1770847337
Registry record updated Nov 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
OS 13914 Issued in FL
Practice address
1000 W Moreno St
Pensacola, FL 32501-2316
Phone
(850) 469-7406
Fax
(850) 478-1312
NPI assigned
Jun 28, 2012
Last updated
Nov 16, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X OS 13914 FL Primary
Hospitalist Physician 208M00000X OS13914 FL

Addresses

Primary practice location

1000 W Moreno St
Pensacola, FL 32501-2316

Mailing address

1717 N E St
Suite 227
Pensacola, FL 32501-6339
Phone (850) 437-8600

Other identifiers 2

IdentifierTypeStateIssuer
018666800MedicaidFL
91C13OtherFLFLORIDA BLUE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161025000818 FL Practitioner - Pediatric Medicine 0143528158 Reassigns benefits to 1 organization
I20200810000154 TX Practitioner - Pediatric Medicine 0143528158 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OS 13914FLMDPediatrics Physician
OS13914FLMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Physician Associates LLC Pediatrics CurrentSince Oct 24, 2016 Accepting new patients
Pediatrix Medical Group of Texas Billing, Inc. Pediatrics CurrentSince May 6, 2020 Accepting new patients
Texas Health Harris Methodist Hospital Hurst-Euless-Bedford Past Accepting new patients
Columbia Medical Center of Arlington Subsidiary LP Past Accepting new patients
Texas Health Arlington Memorial Hospital Past Accepting new patients
Texas Health Harris Methodist Hospital Fort Worth Past Accepting new patients
Texas Health Harris Methodist Hospital Southwest Fort Worth Past Accepting new patients
Baylor All Saints Medical Center Past Accepting new patients
Methodist Hospitals of Dallas Past Accepting new patients

Locations

1000 W Moreno St
Pensacola, FL 32501
Phone (850) 434-4011

1717 N E St
Ste 227
Pensacola, FL 32501
Phone (850) 437-8600

800 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 548-6100

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

6100 Harris Pkwy
Ft Worth, TX 76132
Phone (817) 346-5000

Interoperability endpoints

  • FHIR API: https://epproxy.texashealth.org/FHIR/api/FHIR/DSTU2/

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479254400000",
    "number": "1770847337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 N E ST",
            "address_2": "SUITE 227",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325016339",
            "telephone_number": "850-437-8600",
            "fax_number": "850-437-8601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W MORENO ST",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325012316",
            "telephone_number": "850-469-7406",
            "fax_number": "850-478-1312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOKELMAN",
        "first_name": "KATIE",
        "middle_name": "FITZPATRICK",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2016-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "OS 13914",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "OS13914",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018666800",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "91C13",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.