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KATRINA R BADER CNP
NPI 1023110053
Nurse Practitioner in Tucker, GA

Active since September 01, 2006
200 CRES CTR PKWY, DEPARTMENT OF RESEARCH, TUCKER, GA 30084(770) 496-3770 Get Directions Write a Review

NPPES record last updated: July 12, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Katrina R Bader Cnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATRINA R BADER CNP (NPI 1023110053) is an individual nurse practitioner in Tucker, Georgia, licensed in Georgia (RN050415) and active in the NPI registry since September 2006.

NPPES Registry Identity

NPI1023110053
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKATRINA R BADERCredential: CNP
Location Address200 CRES CTR PKWY, DEPARTMENT OF RESEARCHTucker, GA 30084-7047
Mailing Address3495 Piedmont Road Ne, Nine Piedmont CenterAtlanta, GA 30305-1736 · (404) 364-7000
Phone(770) 496-3770
Sole ProprietorNo
Enumeration DateSeptember 1, 2006
Last NPPES UpdateJuly 12, 2007
✔ NPI 1023110053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in GA · RN050415
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
200 CRES CTR PKWY, Tucker, GA 30084
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Other Names 1

Former Name (1)Paula Katrina Rivers

Other Identifiers 2

Medicare UPINQ25696
Medicare ID-Type Unspecified50BBHTS

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAISER PERMANENTE INTERNAL
Pharmacy (Managed Care Organization Pharmacy)
200 CRES CTR PKWY
TUCKER, GA 30084
Dekalb County (770) 496-3623

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katrina Bader's NPI number?

The NPI number for Katrina Bader is 1023110053. It was assigned to this individual provider in the NPPES registry on September 1, 2006. The provider is also known as Paula Katrina Rivers.

Where is Katrina Bader located?

Katrina Bader practices at 200 Cres Ctr Pkwy Department Of Research, Tucker, GA 30084. The listed phone number is (770) 496-3770.

What is Katrina Bader's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Katrina Bader was last updated on July 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.