Active NPI
Kathryn Mulford Ware, WHNP-BC
- Women's Health Nurse Practitioner
- Longview, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 1071407
- Practice address
- 802 Medical Dr Ste 200
Longview, TX 75605-5201 - Phone
- (903) 232-8297
- NPI assigned
- Feb 18, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 1071407 | TX | |
| Nurse Practitioner | 363L00000X | 1071407 | TX | |
| Women's Health Nurse Practitioner | 363LW0102X | 1071407 | TX | Primary |
Addresses
Primary practice location
802 Medical Dr Ste 200
Longview, TX 75605-5201
Mailing address
802 Medical Dr Ste 200
Longview, TX 75605-5201
Phone (903) 445-1286
Other practice location 1
323 E Hawkins Pkwy Ste D
Longview, TX 75605-8165
Phone (903) 315-5733
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
323 E Hawkins Pkwy
Longview, TX 75605-8153
620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900
630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560
815 S Washington Ave
Marshall, TX 75670-5369
Phone (913) 315-4880
PO Box
Suite 846098
Dallas, TX 75284-6098
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1071407 | TX | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christus Trinity Clinic Texas | Obstetrics & Gynecology | Current | Accepting new patients |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Diagnostic Clinic of Longview PA | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
323 E Hawkins Pkwy
Ste D
Longview, TX 75605
Phone (903) 315-4450
630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888
Interoperability endpoints
- kware340519@christushealth.direct-ci.net
- https://api.platform.athenahealth.com/23550/brand/1/csg/1/fhir/r4
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Tyler, TX
- NPI 1285684225
Obstetrics & Gynecology
-
- Rural Health Clinic/Center
- Winnsboro, TX
- NPI 1801673165
-
- Internal Medicine Physician
- Longview, TX
- NPI 1386638468
Obstetrics & Gynecology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Longview, TX
- NPI 1124092036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712275200000",
"number": "1891440723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "802 MEDICAL DR STE 200",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756055201",
"telephone_number": "903-445-1286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "802 MEDICAL DR STE 200",
"city": "LONGVIEW",
"state": "TX",
"postal_code": "756055201",
"telephone_number": "903-232-8297"
}
],
"practiceLocations": [
{
"address_1": "323 E Hawkins Pkwy Ste D",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "TX",
"postal_code": "756058165",
"country_code": "US",
"telephone_number": "903-315-5733",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WARE",
"first_name": "KATHRYN",
"middle_name": "MULFORD",
"credential": "WHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-18",
"last_updated": "2024-04-05",
"certification_date": "2024-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "TX",
"license": "1071407",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1071407",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "TX",
"license": "1071407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Longview, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.