Individual provider Active NPI

Katherine Mae Helton, MSN, FNP

  • Family Nurse Practitioner
  • Lebanon, MO
National Provider Identifier
1780328401
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2018026915 Issued in MO
Practice address
1229 Deadra Dr
Lebanon, MO 65536-4669
Phone
(417) 322-6460
Fax
(877) 440-3790
NPI assigned
Apr 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

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 2018026915 MO Primary

Addresses

Primary practice location

1229 Deadra Dr
Lebanon, MO 65536-4669

Mailing address

1229 Deadra Dr
Lebanon, MO 65536-4669
Phone (417) 322-6460

Other names 1

  • Katherine Cleveland Former name

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
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
2018026915MOMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1780328401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 DEADRA DR",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655364669",
            "telephone_number": "417-322-6460",
            "fax_number": "877-440-3790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1229 DEADRA DR",
            "city": "LEBANON",
            "state": "MO",
            "postal_code": "655364669",
            "telephone_number": "417-322-6460",
            "fax_number": "877-440-3790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELTON",
        "first_name": "KATHERINE",
        "middle_name": "MAE",
        "credential": "MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-27",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2018026915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "CLEVELAND",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lebanon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.