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KATHERINE ELIZABETH ECHEVARRIA PA-C NPI 1235247040


NPI Information

NPI: 1235247040
Provider Name: KATHERINE ELIZABETH ECHEVARRIA, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: WELLMONT MEDICAL ASSOCIATES INC

PECOS Registration: Yes

Address:
378 MARKETPLACE DR STE 5
JOHNSON CITY, TN
ZIP 37604
Phone: (423) 282-0751
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Katherine Elizabeth Echevarria, PA-C is a medical physician assistant in Johnson City, TN with 19 years of experience. Katherine Elizabeth Echevarria, PA-C NPI is 1235247040. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: STANFORD UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2005

The provider's business location address is:

378 MARKETPLACE DR STE 5
JOHNSON CITY, TN
ZIP 37604-361
Phone: (423) 282-0751
Fax: (423) 282-1577

The NPI 1235247040 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/29/2006 and was last updated on 2/26/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363A00000XPhysician AssistantPA17844CALIFORNIANo
2363AM0700XPhysician AssistantMedical3480TENNESSEEYes
3363AM0700XPhysician AssistantMedical0110005351VIRGINIANo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PA17844OTHERCALIFORNIAPA STATE LICENSE
2ME1446675OTHERCALIFORNIADEA PROVIDER NUMBER
3ME1214472OTHERCALIFORNIADEA

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.