Active NPI
Katherine L Mulherin, N.P.
- Family Nurse Practitioner
- Fenton, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 105483
- Practice address
- 128 Matrix Commons Dr
Fenton, MO 63026 - Phone
- (636) 349-6850
- Fax
- (636) 349-6641
- NPI assigned
- May 13, 2010
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 105483 | MO | Primary |
Addresses
Primary practice location
128 Matrix Commons Dr
Fenton, MO 63026
Mailing address
128 Matrix Commons Dr
Fenton, MO 63026-2935
Phone (314) 731-9675
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MA5364047 | Medicaid | MO |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
463 Lynn Haven LN
Hazelwood, MO 63042-1808
Phone (314) 731-0448
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105483 | MO | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care of Kansas PA | Current | Accepting new patients | |
| American Current Care of Kansas PA | Current | Accepting new patients | |
| American Current Care of Kansas PA | Current | Accepting new patients |
Locations
128 Matrix Commons Dr
Fenton, MO 63026
Phone (636) 349-6850
463 Lynn Haven Ln
Hazelwood, MO 63042
Phone (314) 731-0448
6401 E Front St
Kansas City, MO 64120
Phone (816) 241-0603
83 Progress Pkwy
Maryland Hts, MO 63043
Phone (314) 434-8174
5506 Corporate Dr
Ste 1700
Saint Joseph, MO 64507
Phone (816) 671-4880
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Urgent Care Clinic/Center
- Kansas City, MO
- NPI 1295131324
-
- Urgent Care Clinic/Center
- Maryland Heights, MO
- NPI 1922404052
-
- Urgent Care Clinic/Center
- Addison, TX
- NPI 1114323243
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531180800000",
"number": "1780902882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "128 MATRIX COMMONS DR",
"city": "FENTON",
"state": "MO",
"postal_code": "630262935",
"telephone_number": "314-731-9675",
"fax_number": "636-349-6850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "128 MATRIX COMMONS DR",
"city": "FENTON",
"state": "MO",
"postal_code": "63026",
"telephone_number": "636-349-6850",
"fax_number": "636-349-6641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULHERIN",
"first_name": "KATHERINE",
"middle_name": "L",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-05-13",
"last_updated": "2018-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "105483",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "MA5364047",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fenton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.