KATHERINE AHLSTROM, CNM — NPI 1467180497 (Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers

CMS-1500 Box 24J / 33a • NPI

1467180497

Type 1 Individual Rendering/Ordering

HIPAA NUCC Taxonomy • CMS Code

367A00000X (CMS 42)

Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Midwife, Certified Nurse

Box 32 Service Location & ZIP+4

1301 MEMORIAL DR, BRYAN, TX, 77802-5205

✓ 9-Digit EDI 837 ZIP+4 (77802-5205)

Practice Phone & Referral Fax

(979) 731-4520

Fax: (979) 731-4570

✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR: NPI 1467180497 (KATHERINE AHLSTROM, CNM) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).

CMS Medicare Order & Referring PECOS Eligibility

This practitioner does not currently appear in the CMS individual Order & Referring PECOS file (may practice in pediatrics, commercial-only networks, or hospital-employed settings).

Official CMS NPPES Credential & Practice Profile

10-Digit NPI Number	`1467180497` (NPI-1 Individual Practitioner)
Provider / Legal Name	KATHERINE AHLSTROM, CNM
Plain-English Specialty	Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Midwife, Certified Nurse NUCC Code: `367A00000X` (Advanced Practice Midwife)
Certifying / Licensing Body	State Medical / Healthcare Licensing Board & National Specialty Board
Practice Location Address	1301 MEMORIAL DR, BRYAN, TX, 77802-5205
Practice Telephone / Fax	Tel: (979) 731-4520 \| Fax: (979) 731-4570
Administrative Mailing Address	1500 UNIVERSITY DR E STE 100, COLLEGE STATION, TX, 77840-2600
Enumeration & Last Sync	Enumerated: 2022-08-09 \| CMS Record Updated: 2024-09-11

Clinic Location, Accessibility & Directions

📍 Practice Location & Patient Access

1301 MEMORIAL DR, BRYAN, TX, 77802-5205

🗺️ Open in Google Maps 🏥 More Providers in BRYAN

🔒 Are you KATHERINE AHLSTROM, CNM? Get your Verified NPI Clinic Badge or request personal phone/address redaction →

Plain-English Taxonomy & CMS Crosswalk (367A00000X)

What Does Taxonomy Code 367A00000X Mean?

In the HIPAA National Uniform Claim Committee (NUCC) classification, code 367A00000X translates to:
"Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Midwife, Certified Nurse"

CMS-1500 Medicare Specialty Crosswalk: CMS Code 42 (Certified Nurse Midwife)
Certifying / Accrediting Authority: State Medical / Healthcare Licensing Board & National Specialty Board
Clinical Scope: Consult a verified Advanced Practice Midwife for specialized diagnostic evaluation, treatment planning, and continuity of care.

Specialty Clinical Procedures & Therapeutic Classes

Standard Scope of Care (KATHERINE AHLSTROM, CNM)

Typical CPT / Diagnostic Procedures:

Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
Preventive Screening, Patient Counseling & Multidisciplinary Referral

Common Therapeutic Classes:

Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)

All Registered NUCC Taxonomies & State Licenses

Taxonomy Code & Plain-English Description	State License & Primary Status
`367A00000X` — Advanced Practice Midwife Plain English: Licensed & Credentialed Physician Assistants & Advanced Practice Nursing Providers — Midwife, Certified Nurse	State: TX \| License: `1084428` \| Primary: Yes (Primary)

Medical Billing, RCM & Hospital Credentialing Teams:

Batch-verify up to 25 NPIs free against CMS NPPES + Medicare PECOS + HHS OIG Exclusions with 1-click CSV export.

Launch Bulk NPI Checker → JSON API Docs

KATHERINE AHLSTROM, CNM (NPI #1467180497)