MS. KATHRYN BACKUS NP NPI 1508869348

NPI Information

NPI: 1508869348
Provider Name: MS. KATHRYN BACKUS, NP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
2033 MEADOWVIEW LN
STE 200
KINGSPORT, TN
ZIP 37660
Phone: (423) 857-2260
Get Directions

MS. Kathryn Backus, NP is a pediatrics nurse practitioner in Kingsport, TN. MS. Kathryn Backus, NP NPI is 1508869348. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2033 MEADOWVIEW LN
STE 200
KINGSPORT, TN
ZIP 37660-569
Phone: (423) 857-2260
Fax: (423) 857-2261

The NPI 1508869348 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 5/24/2005 and was last updated on 8/27/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	0024070828	VIRGINIA	No
2	363LP0200X	Nurse Practitioner	Pediatrics	APN 6139	TENNESSEE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	PENDING	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE
2	R83345	MEDICARE UPIN
3	3348978	MEDICAID	TENNESSEE
4	007787031	MEDICAID	VIRGINIA
5	0281780003	MEDICARE PIN
6	PENDING	MEDICAID	TENNESSEE
7	0281780001	MEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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