Individual provider Active NPI

Katelyn Marie Marchie

  • Family Nurse Practitioner
  • West Springfield, MA
National Provider Identifier
1942823836
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1160490 Issued in TX
Practice address
928 Riverdale St
West Springfield, MA 01089-4620
Phone
(413) 733-6490
NPI assigned
May 26, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 8864 CT
Family Nurse Practitioner 363LF0000X RN2287112 MA
Family Nurse Practitioner 363LF0000X APN.0998695-NP CO
Family Nurse Practitioner 363LF0000X 1160490 TX Primary

Addresses

Primary practice location

928 Riverdale St
West Springfield, MA 01089-4620

Mailing address

928 Riverdale St
West Springfield, MA 01089-4620
Phone (413) 733-6490

Other practice location 1

330 Washington St Ste 510
Norwich, CT 06360-2733
Phone (860) 885-1308

Other practice location 2

3514 Main St
Coventry, CT 06238-1551
Phone (860) 742-3543

Other practice location 3

3514 Main St
Coventry, CT 06238-1551
Phone (413) 733-6490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210121001405 CT Practitioner - Nurse Practitioner 8224442900
I20211208003019 MA Practitioner - Nurse Practitioner 8224442900 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APN.0998695-NPCOMDFamily Nurse Practitioner
8864CTMDFamily Nurse Practitioner
1160490TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rapid Medical Services Family CurrentSince Apr 12, 2025 Accepting new patients
Southwest Texas Two Medical Group, PLLC Past Accepting new patients
West Two Medical Group, PLLC Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1590451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1942823836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928 RIVERDALE ST",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010894620",
            "telephone_number": "413-733-6490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 RIVERDALE ST",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010894620",
            "telephone_number": "413-733-6490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 Washington St Ste 510",
            "address_purpose": "LOCATION",
            "city": "Norwich",
            "state": "CT",
            "postal_code": "063602733",
            "country_code": "US",
            "telephone_number": "860-885-1308",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3514 Main St",
            "address_purpose": "LOCATION",
            "city": "Coventry",
            "state": "CT",
            "postal_code": "062381551",
            "country_code": "US",
            "telephone_number": "860-742-3543",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3514 Main St",
            "address_purpose": "LOCATION",
            "city": "Coventry",
            "state": "CT",
            "postal_code": "062381551",
            "country_code": "US",
            "telephone_number": "413-733-6490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARCHIE",
        "first_name": "KATELYN",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-26",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "8864",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2287112",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "APN.0998695-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1160490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Springfield, MA

Sources for this page

Verify at the official NPI Registry.