Individual provider Active NPI

Kathryn Christine Wright, FNP-BC

  • Primary Care Nurse Practitioner
  • Lake Odessa, MI
National Provider Identifier
1962028258
Registry record updated Mar 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
4704339804 Issued in MI
Practice address
1020 4TH Ave
Lake Odessa, MI 48849-1004
Phone
(616) 374-8881
Fax
(616) 374-4220
NPI assigned
Jun 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 4704339804 MI Primary
Registered Nurse 163W00000X 4704339804 MI

Addresses

Primary practice location

1020 4TH Ave
Lake Odessa, MI 48849-1004

Mailing address

1020 4TH Ave
Lake Odessa, MI 48849-1004
Phone (616) 374-8881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210512000636 MI Practitioner - Nurse Practitioner 7214346816 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Clarence Richard Barnett MD PLC CurrentSince Feb 4, 2021 Accepting new patients

Locations

1020 4th Ave
Lake Odessa, MI 48849
Phone (616) 374-8872

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1592784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1962028258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 4TH AVE",
            "city": "LAKE ODESSA",
            "state": "MI",
            "postal_code": "488491004",
            "telephone_number": "616-374-8881",
            "fax_number": "616-374-4220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 4TH AVE",
            "city": "LAKE ODESSA",
            "state": "MI",
            "postal_code": "488491004",
            "telephone_number": "616-374-8881",
            "fax_number": "616-374-4220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "KATHRYN",
        "middle_name": "CHRISTINE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-22",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MI",
            "license": "4704339804",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704339804",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Odessa, MI

Sources for this page

Verify at the official NPI Registry.