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KATHERINE KELLE TILLMAN APRN ACNS-BC
NPI 1720648140
Registered Nurse - Administrator in Fort Worth, TX

Active since June 18, 2019
1919 8TH AVE, FORT WORTH, TX 76110(817) 332-7722(817) 582-4977 Get Directions Write a Review

NPPES record last updated: June 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 2, 2025, Jun 18, 2019 (2 updates tracked since 2019).

About Katherine Kelle Tillman Aprn Acns-bc NPPES

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

KATHERINE KELLE TILLMAN APRN ACNS-BC (NPI 1720648140) is an individual administrator provider in Fort Worth, Texas, licensed in Texas (AP129952) and active in the NPI registry since June 2019.

NPPES Registry Identity

NPI1720648140
Entity TypeIndividualFemale
Primary Taxonomy163WA2000X
Provider Legal NameKATHERINE KELLE TILLMANCredential: APRN ACNS-BC
Location Address1919 8TH AVEFort Worth, TX 76110-1358
Mailing Address1919 8th AveFort Worth, TX 76110-1358 · (817) 332-7722 · Fax (817) 582-4977
Phone(817) 332-7722
Fax(817) 582-4977
Sole ProprietorNo
Enumeration DateJune 18, 2019
Last NPPES UpdateJune 2, 20252 updates tracked since enumeration
NPPES CertifiedJune 2, 2025
✔ NPI 1720648140 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · AdministratorNursing Service Providers
Taxonomy Code163WA2000X
License✔ Licensed in TX · AP129952
1919 8TH AVE, Fort Worth, TX 76110
Open in Google Maps ↗

Other Providers at the Same Location NPPES 7

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

TAMARA WILLIARD SLP,MA,CCC-SLP
Speech-Language Pathologist
1919 8TH AVE
FORT WORTH, TX 76110
Tarrant County (940) 595-1859
MR. EDUARDO ALEJANDRO FLORES-LOPEZ FNP-C
Nurse Practitioner
1919 8TH AVE
FORT WORTH, TX 76110
Tarrant County (817) 332-7722
CATHLEEN M REIGLE AUD CCC-A
Audiologist
1919 8TH AVE
FORT WORTH, TX 76110
Tarrant County (682) 885-4063
JOHNNIE MAE IRELAND WHNP-BC
Nurse Practitioner (Women's Health)
1919 8TH AVE
FORT WORTH, TX 76110
Tarrant County (817) 332-7722
HEALTH EDUCATION LEARNING PROJECT
Clinic/Center
1919 8TH AVE
FORT WORTH, TX 76110
Tarrant County (817) 332-7722
HEALTH EDUCATION LEARNING PROJECT
Pharmacy (Community/Retail Pharmacy)
1919 8TH AVE
FORT WORTH, TX 76110
Tarrant County (833) 451-0934
KATHERINE LEIGH MANTHURUTHIL PT, DPT
Physical Therapist
1919 8TH AVE
FORT WORTH, TX 76110
Tarrant County (219) 851-3399

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 Katherine Tillman's NPI number?

The NPI number for Katherine Tillman is 1720648140. It was assigned to this individual provider in the NPPES registry on June 18, 2019.

Where is Katherine Tillman located?

Katherine Tillman practices at 1919 8th Ave, Fort Worth, TX 76110. The listed phone number is (817) 332-7722.

What is Katherine Tillman's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Administrator, with taxonomy code 163WA2000X.

When was this NPI record last updated?

The NPPES record for Katherine Tillman was last updated on June 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.