Individual provider Active NPI

Katherine Latreas Brame, PA-C

  • Physician Assistant
  • Logansport, LA
National Provider Identifier
1801028493
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA.200335 Issued in LA
Practice address
808 Main Street
Logansport, LA 71049
Phone
(318) 697-2273
Fax
(318) 697-2277
NPI assigned
Aug 14, 2009
Last updated
May 5, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA.200335 LA Primary

Addresses

Primary practice location

808 Main Street
Logansport, LA 71049

Mailing address

808 Main Street
Logansport, LA 71049

Other practice location 1

1501 Kings Hwy
Dept of Neurosurgery
Shreveport, LA 71103-4228
Phone (318) 675-6121

Other identifiers 1

IdentifierTypeStateIssuer
2311921MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100610000863 LA Practitioner - Physician Assistant 5991835365 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Desoto Hospital Association CurrentSince Mar 2, 2018 Accepting new patients
Desoto Hospital Association Current Accepting new patients
Anesthesiology and Pain Management Past Accepting new patients
Desoto Hospital Assocation Past Accepting new patients
WK Pierremont Psychiatry Past Accepting new patients

Locations

110 Main St
Logansport, LA 71049
Phone (318) 872-0747

130 Jefferson St
Mansfield, LA 71052
Phone (318) 872-2700

207 Jefferson St
Mansfield, LA 71052
Phone (318) 871-3109

Interoperability endpoints

  • Direct secure messaging: katherine.brame@drfmc.eclinicaldirectplus.com

Organizations & group practices 6

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": "1250208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588636800000",
    "number": "1801028493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 MAIN STREET",
            "city": "LOGANSPORT",
            "state": "LA",
            "postal_code": "71049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 MAIN STREET",
            "city": "LOGANSPORT",
            "state": "LA",
            "postal_code": "71049",
            "telephone_number": "318-697-2273",
            "fax_number": "318-697-2277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1501 Kings Hwy",
            "address_2": "Dept of Neurosurgery",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711034228",
            "country_code": "US",
            "telephone_number": "318-675-6121",
            "fax_number": "318-675-6839",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRAME",
        "first_name": "KATHERINE",
        "middle_name": "LATREAS",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-14",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "LA",
            "license": "PA.200335",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2311921",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Logansport, LA

Sources for this page

Verify at the official NPI Registry.