Active NPI
Katherine Federline Allan, M.D.
- Internal Medicine Physician
- Memphis, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 42664
- Practice address
- 100 N Humphreys Blvd
Memphis, TN 38120-2146 - Phone
- (901) 683-0055
- Fax
- (901) 322-2994
- NPI assigned
- May 31, 2007
- Last updated
- Nov 18, 2010
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 42664 | TN | Primary |
Addresses
Primary practice location
100 N Humphreys Blvd
Memphis, TN 38120-2146
Mailing address
500 S Greer St
Memphis, TN 38111-3212
Phone (901) 219-9252
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03170013 | Medicaid | MS | |
| 9813049 | Other | TN | AETNA |
| 208332106 | Medicaid | MO | |
| 3000460 | Medicaid | TN | |
| 4159066 | Other | TN | BCBS TN |
| 165578001 | Medicaid | AR | |
| 84616 | Other | AR | BCBS AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Tennessee, HSC, College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5959 Park Ave
Memphis, TN 38119-5200
Phone (901) 765-1000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42664 | TN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Physician Services PC | Internal Medicine | Current | Accepting new patients |
Locations
5959 Park Ave
Memphis, TN 38119
Phone (901) 765-1000
1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061
Organizations & group practices 1
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.
-
- Hospitalist Physician
- Oak Ridge, TN
- NPI 1083835441
Internal Medicine
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": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290038400000",
"number": "1942402284",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 S GREER ST",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381113212",
"telephone_number": "901-219-9252"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N HUMPHREYS BLVD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381202146",
"telephone_number": "901-683-0055",
"fax_number": "901-322-2994"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLAN",
"first_name": "KATHERINE",
"middle_name": "FEDERLINE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2010-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "42664",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03170013",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9813049",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "208332106",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3000460",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS TN",
"identifier": "4159066",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "165578001",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS AR",
"identifier": "84616",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
- All in One's Hands
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- All Smiles & Wellness Family Dentistry,PC
- All Star Ambulance Service, Inc (All Star Ambulance)
- All Star Mobility & Medical, Inc.
- Katie Norwood Allbritten, LCSW
- Allen Alternative Medical and Wellness Clinic
- Allen Primary Care Medicine
- Elizabeth Dawn Allen-Klemke, MSOTR/L
- Stephanie Lynn Allen-Winters, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.