Kathryn Colleen Robertson, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP342 Issued in ID

Practice address

302 S 1St Ave
Sandpoint, ID 83864-1258

Phone

(208) 263-5109

Fax

(208) 263-5112

NPI assigned

Dec 22, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ID

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kathryn.robertson@sfm.directbygreenway.com
• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72489

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sandpoint Family Medicine PA

  • Family Medicine Physician
  • Sandpoint, ID
  • NPI 1740493832
  Medicare reassignment NPD

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114082906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6280 HIGHWAY 2",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838648381",
            "telephone_number": "208-265-9532",
            "fax_number": "208-263-5112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 S 1ST AVE",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838641258",
            "telephone_number": "208-263-5109",
            "fax_number": "208-263-5112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "KATHRYN",
        "middle_name": "COLLEEN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ID",
            "license": "NP342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8055221300",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peggy Richards, LMT
• Todd Richards, D.C.
• Eric Ridgway, LCPC, NCC
• Hannah Faith Robbins, M.D.
• Robert E. Rust MD
• Robin Zimpel
• Kathryn Roffino, LMT
• Kendal Roos, PHARMD
• Rooted Wellness Therapy, PLLC
• Michael P Rosenkranz, MD

• Nurse Practitioner in Sandpoint, ID
• Providers in Sandpoint, ID by specialty
• Nurse Practitioner in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.