Katherine Fountain Niles, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601002401 Issued in MI

Practice address

US Dept of State 2401 E St NW
M/Med/Qi, Sa-1
Washington, DC 20522-0001

Phone

(202) 663-2453

Fax

(202) 663-3247

NPI assigned

Aug 25, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Katherine Elizabeth Fountain Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251158400000",
    "number": "1972736908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 E ST NW",
            "address_2": "US DEPT OF STATE M/MED/QI, SA-1",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "205220102",
            "telephone_number": "202-663-2453",
            "fax_number": "202-663-3247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "US DEPT OF STATE 2401 E ST NW",
            "address_2": "M/MED/QI, SA-1",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "205220001",
            "telephone_number": "202-663-2453",
            "fax_number": "202-663-3247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NILES",
        "first_name": "KATHERINE",
        "middle_name": "FOUNTAIN",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-25",
        "last_updated": "2009-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601002401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "FOUNTAIN",
            "middle_name": "ELIZABETH",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelsey Nikcevich, LGSW
• Niki Novak, MFT, LLC
• Nana T Nikoi, MD
• Wimolwan Nildum, LMT
• Nile Express Transport, Inc.
• Kathleen M Nilles, MD
• Chanigan Nilubol, M.D.
• Naomi Barbara Nim, LPC
• Nima S Moainie PLLC
• Avril Angelique Nimblett, PA-C

• Medical Physician Assistant in Washington, DC
• Providers in Washington, DC by specialty
• Medical Physician Assistant in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2009; 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.