Kathy A Roy, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

RN00079324 Issued in WA

Practice address

1950 Pottery Ave Ste 25
Port Orchard, WA 98366-2590

Phone

(360) 373-8016

Fax

(360) 616-2775

NPI assigned

Sep 9, 2008

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/13902/brand/1/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220918400000",
    "number": "1003065533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3377 BETHEL RD SE STE 107",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983665608",
            "telephone_number": "360-373-8016",
            "fax_number": "360-616-2775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 POTTERY AVE STE 25",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983662590",
            "telephone_number": "360-373-8016",
            "fax_number": "360-616-2775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROY",
        "first_name": "KATHY",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "WA",
            "license": "RN00079324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Lyn Rogers, BCBA, LMFTA
• Lynn Rohn, LMP
• Carly Briley Hope Roland
• Rooted Connections Counseling
• Marcus Alan Rovira
• Fridah Rugendo
• Christopher Neel Russie
• Mathew A Ryan, D.C.
• Kimberly Gene Ryor
• Jerome D Sabelhaus, DC

• Administrator Registered Nurse in Port Orchard, WA
• Providers in Port Orchard, WA by specialty
• Administrator Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.