Organization Active NPI

Katherine Stone DO PLLC

  • Family Medicine Physician
  • Crossville, TN
National Provider Identifier
1891441655
Registry record updated Mar 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
KATHERINE STONE DO PLLC
Practice address
1645 S Main St Ste 101
Crossville, TN 38555-5998
Phone
(931) 484-7531
Fax
(931) 456-9515
NPI assigned
Mar 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2022

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

Authorized official

Name
Ms. Katherine Marie Stone, DO
Title
Owner
Phone
(931) 484-7531

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1645 S Main St Ste 101
Crossville, TN 38555-5998

Mailing address

1645 S Main St Ste 101
Crossville, TN 38555-5998
Phone (931) 484-7531

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220831000613 TN Part B Supplier - Clinic/Group Practice 5294119863 Receives reassigned benefits from 2 practitioners
Practice locations: Crossville, TN

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1646092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646092800000",
    "number": "1891441655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 S MAIN ST STE 101",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385555998",
            "telephone_number": "931-484-7531",
            "fax_number": "931-456-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 S MAIN ST STE 101",
            "city": "CROSSVILLE",
            "state": "TN",
            "postal_code": "385555998",
            "telephone_number": "931-484-7531",
            "fax_number": "931-456-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KATHERINE STONE DO PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-01",
        "last_updated": "2022-03-01",
        "certification_date": "2022-03-01",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "931-484-7531",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crossville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.