Individual provider Active NPI

Kathryn Mulford Ware, WHNP-BC

  • Women's Health Nurse Practitioner
  • Longview, TX
National Provider Identifier
1891440723
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
1071407 Issued in TX
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

Updated by the provider on Apr 5, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220419001314 TX Practitioner - Nurse Practitioner 6507253788 Reassigns benefits to 1 organization

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
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

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

LicenseStateTypeSpecialty
1071407TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas Obstetrics & Gynecology CurrentSince Oct 16, 2023 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Oct 16, 2023 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

  • Direct secure messaging: kware340519@christushealth.direct-ci.net
  • FHIR API: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.