NPIMap

Individual provider Active NPI

Katie Camarata, DO

  • Family Medicine Physician
  • Cascade, ID
National Provider Identifier
1811429442
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
O-1397 Issued in ID
Practice address
402 Lake Cascade Pkwy
Cascade, ID 83611-7702
Phone
(208) 382-4285
Fax
(208) 382-5081
NPI assigned
Apr 2, 2017
Last updated
Feb 22, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X O-1397 ID Primary

Addresses

Primary practice location

402 Lake Cascade Pkwy
Cascade, ID 83611-7702

Mailing address

PO Box 1330
Cascade, ID 83611-1330
Phone (208) 382-4285

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250411001844 ID Practitioner - Family Practice 2264786755 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Pacific NW Un of HS, Col of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

402 Lake Cascade Pkwy
Cascade, ID 83611-7702
Phone (208) 382-4285

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cascade Medical Center Hospital District Family Medicine CurrentSince Jan 19, 2025 Accepting new patients
Cascade Medical Center Hospital District CurrentSince Jan 19, 2025 Accepting new patients
Cascade Medical Center Hospital District Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: katie.camarata.1@15123.direct.athenahealth.com
  • Direct secure messaging: kcamarata802444@direct.ochin.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1491091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1811429442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1330",
            "city": "CASCADE",
            "state": "ID",
            "postal_code": "836111330",
            "telephone_number": "208-382-4285",
            "fax_number": "208-382-5081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 LAKE CASCADE PKWY",
            "city": "CASCADE",
            "state": "ID",
            "postal_code": "836117702",
            "telephone_number": "208-382-4285",
            "fax_number": "208-382-5081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMARATA",
        "first_name": "KATIE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-02",
        "last_updated": "2021-02-22",
        "certification_date": "2020-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ID",
            "license": "O-1397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cascade, ID

Sources for this page

Verify at the official NPI Registry.