Individual provider Active NPI

Katherine Mae Chase, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Garland, TX
National Provider Identifier
1881233161
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP144623 Issued in TX
Practice address
6550 Naaman Forest Blvd # 3-100
Garland, TX 75044-5691
Phone
(469) 421-7681
NPI assigned
Jan 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP144623 TX Primary

Addresses

Primary practice location

6550 Naaman Forest Blvd # 3-100
Garland, TX 75044-5691

Mailing address

6654 Santa Anita Dr
Dallas, TX 75214-2215
Phone (214) 535-0818

Other practice location 1

981 TX-121 #4150
Allen, TX 75013
Phone (972) 872-8408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20260626004005 TX Practitioner - Nurse Practitioner 5092288340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4600 Bohannon Dr
Suite 100
Menlo Park, CA 94025-1037

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP144623TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nortex Medical Group Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1881233161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6654 SANTA ANITA DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752142215",
            "telephone_number": "214-535-0818",
            "fax_number": "214-440-2442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 NAAMAN FOREST BLVD # 3-100",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750445691",
            "telephone_number": "469-421-7681"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "981 TX-121 #4150",
            "address_purpose": "LOCATION",
            "city": "Allen",
            "state": "TX",
            "postal_code": "75013",
            "country_code": "US",
            "telephone_number": "972-872-8408",
            "fax_number": "972-850-7352",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHASE",
        "first_name": "KATHERINE",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-03",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.