Active NPI
Katherine Wilds Price, PH.D.
- School Psychologist
- Madison, TN
National Provider Identifier
1912445834
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 3370
- Practice address
- 643 Blackstone Ave
Madison, TN 37115-4103 - Phone
- (765) 749-1751
- NPI assigned
- Feb 11, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 3370 | TN | Primary |
Addresses
Primary practice location
643 Blackstone Ave
Madison, TN 37115-4103
Mailing address
643 Blackstone Ave
Madison, TN 37115-4103
Phone (765) 749-1751
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3370 | TN | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486771200000",
"number": "1912445834",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "643 BLACKSTONE AVE",
"city": "MADISON",
"state": "TN",
"postal_code": "371154103",
"telephone_number": "765-749-1751"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "643 BLACKSTONE AVE",
"city": "MADISON",
"state": "TN",
"postal_code": "371154103",
"telephone_number": "765-749-1751"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRICE",
"first_name": "KATHERINE",
"middle_name": "WILDS",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-02-11",
"last_updated": "2017-02-11",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "TN",
"license": "3370",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Madison, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.