Individual provider Active NPI

Kathryn Jane Cole, R.N.C

  • Women's Health Nurse Practitioner
  • Park Hills, MO
National Provider Identifier
1952557738
Registry record updated Jun 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
066549 Issued in MO
Practice address
403 Parkway Dr
Park Hills, MO 63601-4435
Phone
(573) 431-5191
Fax
(573) 431-7449
NPI assigned
Aug 13, 2008
Last updated
Jun 30, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 30, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 066549 MO Primary

Addresses

Primary practice location

403 Parkway Dr
Park Hills, MO 63601-4435

Mailing address

403 Parkway Dr
Park Hills, MO 63601-4435
Phone (573) 431-5191

Other identifiers 1

IdentifierTypeStateIssuer
1952557738MedicaidMO

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

State licenses

LicenseStateTypeSpecialty
066549MOMDWomen's Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1218585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309392000000",
    "number": "1952557738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "403 PARKWAY DR",
            "city": "PARK HILLS",
            "state": "MO",
            "postal_code": "636014435",
            "telephone_number": "573-431-5191",
            "fax_number": "573-431-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 PARKWAY DR",
            "city": "PARK HILLS",
            "state": "MO",
            "postal_code": "636014435",
            "telephone_number": "573-431-5191",
            "fax_number": "573-431-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "KATHRYN",
        "middle_name": "JANE",
        "credential": "R.N.C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-13",
        "last_updated": "2011-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "MO",
            "license": "066549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1952557738",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Hills, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.