Katherine Addicott
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Huntington, WV
NPI 1831689314 · NPPES record last updated May 10, 2018
Key facts
- NPI
- 1831689314
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 1600 Medical Center Dr Ste 4500
Huntington, WV 25701-3655 - Phone
- (304) 691-1454
- NPI assigned
- May 10, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Diana Health TN, PC
Practice addresses (Care Compare)
300 Stonecrest Blvd
Suite 310
Smyrna, TN 37167-6801
Phone (629) 206-6858
317 N Hickory Ave
Cookeville, TN 38501-2428
Phone (931) 528-7527
Hospital & facility affiliations
- Cookeville Regional Medical Center
- Cumberland Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240122003252 | TN | Practitioner - Obstetrics/Gynecology | 1052664208 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diana Health TN, PC | Current |
Accepting new patients |
Locations
317 N Hickory Ave
Cookeville, TN 38501
Phone (931) 528-7527
300 Stonecrest Blvd
Ste 310
Smyrna, TN 37167
Phone (629) 206-6858
Interoperability endpoints
- katherine.addicott.1@23211.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | WV | Yes |
Addresses
Primary practice location
1600 Medical Center Dr Ste 4500
Huntington, WV 25701-3655
Mailing address
1600 Medical Center Dr Ste 4500
Huntington, WV 25701-3655
Phone (304) 691-1454
Other providers in Huntington, WV
- Sara Adams
- Shirley Adams
- Tiffany Adams
- Vincent Adams
- Carol Ann Addeo
- Shelly L. Addis
- Paul Adedoyin
- Abayomi Adeyi
- Evelyn Lani Adjaottor
- Alexander D Adkins
All providers in Huntington, WV · Student in an Organized Health Care Education/Training Program in West Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.