Kate Elizabeth Traum

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209018203 Issued in IL

Practice address

109 E Maple St
Gillespie, IL 62033-1473

Phone

(217) 839-1526

NPI assigned

Jul 17, 2018

Last updated

Sep 19, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Amaze Professional Medical Services PC

  • Family Medicine Physician
  • Longmont, CO
  • NPI 1225674625
  NPD (past)

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1952887416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 LONG BRANCH RD",
            "city": "TROY",
            "state": "IL",
            "postal_code": "622943135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 E MAPLE ST",
            "city": "GILLESPIE",
            "state": "IL",
            "postal_code": "620331473",
            "telephone_number": "217-839-1526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAUM",
        "first_name": "KATE",
        "middle_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209018203",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041418593",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2012025351",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Swank, RN, IBCLC
• Rosemary K Tarran, SPEECH/LANGUAGE PATH
• Kent Alan Tarro
• Therese Polo, MD, LLC
• Samantha Thomas, FNP-BC
• Hollie Trettenero, FNP-C
• James Paul Verton, RPH
• Cameron Walker
• Bruce Frank Weber, M.D.
• Kaylee Weber, DPT

• Family Nurse Practitioner in Gillespie, IL
• Providers in Gillespie, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.