Active NPI
Kathy Elise Rochelle-Bernhardt, RDH
- Dental Hygienist
- Yorktown, VA
National Provider Identifier
1043921570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Hygienist
- License
- 0402002723
- Practice address
- BLDG 1806 Naval Weapons Station
Yorktown, VA 23691 - Phone
- (757) 953-8417
- NPI assigned
- Dec 6, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Hygienist | 124Q00000X | 08766 | NC | |
| Dental Hygienist | 124Q00000X | 0402002723 | VA | Primary |
Addresses
Primary practice location
BLDG 1806 Naval Weapons Station
Yorktown, VA 23691
Mailing address
PO Box 101
Lanexa, VA 23089-0101
Phone (757) 871-9796
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0402002723 | Other | VA | LICENSE |
| 08766 | Other | NC | LICENSE |
Other names 1
- Kathy Elise Rochelle
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0402002723 | VA | MD | Dental Hygienist |
| 08766 | NC | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670284800000",
"number": "1043921570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 101",
"city": "LANEXA",
"state": "VA",
"postal_code": "230890101",
"telephone_number": "757-871-9796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "BLDG 1806 NAVAL WEAPONS STATION",
"city": "YORKTOWN",
"state": "VA",
"postal_code": "23691",
"telephone_number": "757-953-8417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCHELLE-BERNHARDT",
"first_name": "KATHY",
"middle_name": "ELISE",
"credential": "RDH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-12-06",
"last_updated": "2022-12-06",
"certification_date": "2022-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "NC",
"license": "08766",
"primary": false
},
{
"code": "124Q00000X",
"taxonomy_group": "",
"desc": "Dental Hygienist",
"state": "VA",
"license": "0402002723",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "0402002723",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "08766",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHY",
"last_name": "ROCHELLE",
"middle_name": "ELISE",
"credential": "RDH",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Yorktown, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.