Individual provider Active NPI

Katherine Scott Passafiume, APRN

  • Neonatal Nurse Practitioner
  • Boise, ID
National Provider Identifier
1841890993
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neonatal Nurse PractitionerTaxonomy code 363LN0000X
License
78780 Issued in ID
Practice address
1055 N Curtis Rd
Boise, ID 83706-1309
Phone
(208) 367-2121
NPI assigned
Oct 28, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neonatal Nurse Practitioner 363LN0000X 10018387 OR
Neonatal Nurse Practitioner 363LN0000X 78780 ID Primary
Neonatal Nurse Practitioner 363LN0000X 3015406 KY

Addresses

Primary practice location

1055 N Curtis Rd
Boise, ID 83706-1309

Mailing address

PO Box 190930
Boise, ID 83719-0930
Phone (208) 367-5170

Other practice location 1

231 E Chestnut St
Louisville, KY 40202-1821
Phone (502) 629-5835

Other practice location 2

2500 NE Neff Rd
Bend, OR 97701-6015
Phone (541) 382-4321

Other practice location 3

351 SW 9th St
Ontario, OR 97914-2639
Phone (541) 881-7184

Electronic endpoints 3

TypeEndpointUseAffiliation
FHIR URL https://epicsoap.nortonhealthcare.org/
Direct Messaging Address kscott40737@direct.nortonhealthcare.org
Direct Messaging Address kpassafiume193511@secure.stcharleshealthcare.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, OR, ID3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20210108002152 KY Practitioner - Nurse Practitioner 0648683714 Reassigns benefits to 1 organization
I20240409001153 OR Practitioner - Nurse Practitioner 0648683714 Reassigns benefits to 2 organizations
I20240409001492 ID Practitioner - Nurse Practitioner 0648683714 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3015406KYMDNeonatal Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Alphonsus Regional Medical Center Inc CurrentSince May 1, 2024 Accepting new patients
Saint Alphonsus Medical Center- Ontario Inc CurrentSince May 1, 2024 Accepting new patients
Norton Children's Medical Group, LLC CurrentSince Jan 1, 2021 Accepting new patients
Norton Children's Medical Group, LLC Current Accepting new patients
St. Charles Health System, Inc. Current Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince May 1, 2024 Accepting new patients
Saint Alphonsus Regional Medical Center Inc Current Accepting new patients
St. Charles Health System, Inc. CurrentSince Apr 1, 2024 Accepting new patients
Saint Alphonsus Medical Center- Ontario Inc CurrentSince May 1, 2024 Accepting new patients
Norton Children's Medical Group, LLC Neonatal CurrentSince Jan 1, 2021 Accepting new patients
St. Charles Health System, Inc. Past Accepting new patients
St. Charles Health System, Inc. Past Accepting new patients
St. Charles Health System, Inc. Past Accepting new patients
St. Charles Health System, Inc. Past Accepting new patients
Norton Childrens Medical Group, LLC Past Accepting new patients

Locations

1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152

3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400

29358 Network Pl
Chicago, IL 60673

720 2nd Ave
Ste 102
Bowling Green, KY 42101
Phone (502) 583-1697

913 N Dixie Ave
Elizabethtown, KY 42701
Phone (270) 706-1212

505 Klutey Park Plaza Dr
Ste A
Henderson, KY 42420
Phone (270) 869-1997

1025 New Moody Ln
Lagrange, KY 40031
Phone (502) 222-3335

231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500

200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000

601 S Floyd St
Ste 700
Louisville, KY 40202
Phone (502) 629-7181

530 S Jackson St
Louisville, KY 40202
Phone (502) 562-3000

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

411 E Chestnut St
#2
Louisville, KY 40202
Phone (502) 588-0902

4123 Dutchmans Ln
Ste 606
Louisville, KY 40207
Phone (502) 896-2500

1000 Breckenridge St
Ste 301
Owensboro, KY 42303
Phone (270) 852-8894

1201 Pleasant Valley Rd
Owensboro, KY 42303
Phone (270) 417-2000

2605 Kentucky Ave
Ste 102
Paducah, KY 42003
Phone (270) 415-8965

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180

4000 Kresge Way
St Matthews, KY 40207
Phone (502) 459-7902

2500 NE Neff Rd
Bend, OR 97701
Phone (541) 388-4333

1050 SW 3rd Ave
Ste 1600
Ontario, OR 97914
Phone (541) 881-2360

351 SW 9th St
Ontario, OR 97914
Phone (541) 881-7000

1253 NW Canal Blvd
Redmond, OR 97756
Phone (541) 548-8131

Interoperability endpoints

  • Direct secure messaging: kpassafiume3345598@direct.trinity-health.org
  • Direct secure messaging: kpassafiume193511@secure.stcharleshealthcare.org
  • Direct secure messaging: kpassafiume3482969@oc.providencedirect.org

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1603843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1841890993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190930",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837190930",
            "telephone_number": "208-367-5170",
            "fax_number": "208-367-5180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 N CURTIS RD",
            "city": "BOISE",
            "state": "ID",
            "postal_code": "837061309",
            "telephone_number": "208-367-2121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 E Chestnut St",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021821",
            "country_code": "US",
            "telephone_number": "502-629-5835",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2500 NE Neff Rd",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977016015",
            "country_code": "US",
            "telephone_number": "541-382-4321",
            "fax_number": "541-706-7068",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "351 SW 9th St",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "OR",
            "postal_code": "979142639",
            "country_code": "US",
            "telephone_number": "541-881-7184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PASSAFIUME",
        "first_name": "KATHERINE",
        "middle_name": "SCOTT",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-28",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "OR",
            "license": "10018387",
            "primary": false
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "ID",
            "license": "78780",
            "primary": true
        },
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "KY",
            "license": "3015406",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/",
            "affiliation": "N",
            "address_1": "4123 Dutchmans Ln Ste 606",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402074725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kscott40737@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "4123 Dutchmans Ln Ste 606",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402074725",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kpassafiume193511@secure.stcharleshealthcare.org",
            "affiliation": "N",
            "address_1": "2500 NE Neff Rd",
            "city": "Bend",
            "state": "OR",
            "country_code": "US",
            "postal_code": "977016015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boise, ID

Sources for this page

Verify at the official NPI Registry.