Active NPI
Katherine J. Ashmore, N.P.
- Acute Care Nurse Practitioner
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 4704169669
- Practice address
- 2799 W Grand Boulevard
K14 Cardiology
Detroit, MI 48202 - Phone
- (313) 461-9110
- Fax
- (313) 916-8416
- NPI assigned
- May 12, 2006
- Last updated
- Feb 26, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 4704169669 | MI | |
| Acute Care Nurse Practitioner | 363LA2100X | 4704169669 | MI | Primary |
Addresses
Primary practice location
2799 W Grand Boulevard
K14 Cardiology
Detroit, MI 48202
Mailing address
2799 W Grand Boulevard
K14 Cardiology
Detroit, MI 48202
Phone (313) 461-9110
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MI4989 | Other | MI | GROUP MEDICARE PIN |
| 104517792 | Medicaid | MI | |
| P00019217 | Other | MI | METRAHEALTH RR |
| 1295023547 | Other | MI | GROUP NPI TYPE II (MICHIGAN HEALTHCARE PROFESSIONALS, PC |
Other names 1
- Katherine H Stewart
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kashmor1@direct.hfhs.org | ||
| Direct Messaging Address | kashmor613980@direct.hfhs.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704169669 | MI | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michigan Healthcare Professionals PC | Current | Accepting new patients | |
| Michigan Healthcare Professionals PC | Current | Accepting new patients |
Locations
42557 Woodward Ave
Ste 130
Bloomfield Hills, MI 48304
Phone (248) 322-3088
42557 Woodward Ave
Ste 200
Bloomfield Hills, MI 48304
Phone (248) 322-0083
27900 Grand River Ave
Ste 220
Farmington Hills, MI 48336
Phone (248) 477-0552
29992 Northwestern Hwy
Ste C
Farmington Hills, MI 48334
Phone (248) 851-1430
1221 Pine Grove Ave
Port Huron, MI 48060
Phone (810) 989-3300
Interoperability endpoints
- kashmore613980@direct.hfhs.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Durable Medical Equipment & Medical Supplies
- Lapeer, MI
- NPI 1992693303
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614297600000",
"number": "1902857469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2799 W GRAND BOULEVARD",
"address_2": "K14 CARDIOLOGY",
"city": "DETROIT",
"state": "MI",
"postal_code": "48202",
"telephone_number": "313-461-9110",
"fax_number": "313-916-8416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2799 W GRAND BOULEVARD",
"address_2": "K14 CARDIOLOGY",
"city": "DETROIT",
"state": "MI",
"postal_code": "48202",
"telephone_number": "313-461-9110",
"fax_number": "313-916-8416"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASHMORE",
"first_name": "KATHERINE",
"middle_name": "J.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2021-02-26",
"certification_date": "2021-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "MI",
"license": "4704169669",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "MI",
"license": "4704169669",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP MEDICARE PIN",
"identifier": "MI4989",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "104517792",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "METRAHEALTH RR",
"identifier": "P00019217",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI TYPE II (MICHIGAN HEALTHCARE PROFESSIONALS, PC",
"identifier": "1295023547",
"state": "MI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kashmor1@direct.hfhs.org",
"affiliation": "N",
"address_1": "2799 W Grand Blvd",
"city": "Detroit",
"state": "MI",
"country_code": "US",
"postal_code": "482022608",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kashmor613980@direct.hfhs.org",
"affiliation": "N",
"address_1": "2799 W Grand Boulevard",
"address_2": "K14 Cardiology",
"city": "Detroit",
"state": "MI",
"country_code": "US",
"postal_code": "48202",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KATHERINE",
"last_name": "STEWART",
"middle_name": "H",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.