Active NPI
Katelin Roberts, AGNP-C
- Adult Health Nurse Practitioner
- Kaufman, TX
National Provider Identifier
1083197958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- AP138304
- Practice address
- 874 Ed Hall Dr
Kaufman, TX 75142 - Phone
- (972) 932-5279
- NPI assigned
- Sep 7, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | AP138304 | TX | Primary |
Addresses
Primary practice location
874 Ed Hall Dr
Kaufman, TX 75142
Mailing address
874 Ed Hall Dr
Kaufman, TX 75142-1861
Other practice location 1
7655 Fall Creek Rd
Terrell, TX 75160-6847
Phone (972) 989-2832
Other practice location 2
7655 Fall Creek Rd
Terrell, TX 75160-6847
Phone (972) 989-2832
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AP138304 | Other | TX | TEXAS BOARD OF NURSING |
Other names 1
- Katelin Rials
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)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536278400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664928000000",
"number": "1083197958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "874 ED HALL DR",
"city": "KAUFMAN",
"state": "TX",
"postal_code": "751421861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "874 ED HALL DR",
"city": "KAUFMAN",
"state": "TX",
"postal_code": "75142",
"telephone_number": "972-932-5279"
}
],
"practiceLocations": [
{
"address_1": "7655 Fall Creek Rd",
"address_purpose": "LOCATION",
"city": "Terrell",
"state": "TX",
"postal_code": "751606847",
"country_code": "US",
"telephone_number": "972-989-2832",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7655 Fall Creek Rd",
"address_purpose": "LOCATION",
"city": "Terrell",
"state": "TX",
"postal_code": "751606847",
"country_code": "US",
"telephone_number": "972-989-2832",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROBERTS",
"first_name": "KATELIN",
"credential": "AGNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-07",
"last_updated": "2022-10-05",
"certification_date": "2022-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "TX",
"license": "AP138304",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS BOARD OF NURSING",
"identifier": "AP138304",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATELIN",
"last_name": "RIALS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Kaufman, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.