Individual provider Active NPI

Kathryn Roush, NP

  • Family Nurse Practitioner
  • Asheville, NC
National Provider Identifier
1114395423
Registry record updated Oct 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5007942 Issued in NC
Practice address
11 River Ridge Dr
Asheville, NC 28803-1299
Phone
(866) 389-2727
NPI assigned
Sep 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2025

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

Specialties & licenses 13

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F35053201 NY
Family Medicine Physician 207Q00000X SP025918 PA
Family Medicine Physician 207Q00000X 000668 GA
Family Medicine Physician 207Q00000X 0024183845 VA
Family Medicine Physician 207Q00000X 112208 WV
Family Medicine Physician 207Q00000X CP002370 SD
Family Medicine Physician 207Q00000X 10894 CT
Family Medicine Physician 207Q00000X 26NJ01378000 NJ
Family Nurse Practitioner 363LF0000X 5007942 NC Primary
Family Medicine Physician 207Q00000X 12070 WI
Family Medicine Physician 207Q00000X 26068 SC
Family Medicine Physician 207Q00000X 37145 TN
Family Medicine Physician 207Q00000X R52115 ND

Addresses

Primary practice location

11 River Ridge Dr
Asheville, NC 28803-1299

Mailing address

11 River Ridge Dr
Asheville, NC 28803

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, GA, SC, PA, WI, VA, CT, NY, NJ, TN10 enrollments
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 10

Enrollment IDStateProvider typePAC IDDetails
I20151125002055 NC Practitioner - Nurse Practitioner 6103126024 Reassigns benefits to 1 organization
I20220614001214 GA Practitioner - Nurse Practitioner 6103126024 Reassigns benefits to 1 organization
I20220705001720 SC Practitioner - Nurse Practitioner 6103126024 Reassigns benefits to 1 organization
I20220913000116 PA Practitioner - Nurse Practitioner 6103126024 Reassigns benefits to 1 organization
I20220922001512 WI Practitioner - Nurse Practitioner 6103126024 Reassigns benefits to 1 organization
I20220922003030 VA Practitioner - Nurse Practitioner 6103126024 Reassigns benefits to 1 organization
I20220930000569 CT Practitioner - Nurse Practitioner 6103126024
I20230123001061 NY Practitioner - Nurse Practitioner 6103126024 Reassigns benefits to 1 organization
I20230127000145 NJ Practitioner - Nurse Practitioner 6103126024 Reassigns benefits to 1 organization
I20250319001040 TN Practitioner - Nurse Practitioner 6103126024 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Minuteclinic Video Virtual Care, PLLCGroup PAC ID 0143650416, 36 clinicians
Minuteclinic Diagnostic of New Jersey LLCGroup PAC ID 8527142439, 112 clinicians
Minuteclinic Diagnostic of Virginia LLCGroup PAC ID 6709960891, 142 clinicians

Practice addresses (Care Compare)

1218 E Lancaster Ave
Bryn Mawr, PA 19010-2616
Phone (866) 389-2727

183 Route 206 S
Chester, NJ 07930-2547
Phone (866) 389-2727

19305 Ruby Dr
Leesburg, VA 20176-6508
Phone (866) 389-2727

698 Fairview Rd
Simpsonville, SC 29680-6708
Phone (866) 389-2727

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
10894CTMDFamily Medicine Physician
R52115NDMDFamily Medicine Physician
F35053201NYMDFamily Medicine Physician
SP025918PAMDFamily Medicine Physician
26068SCMDFamily Medicine Physician
CP002370SDMDFamily Medicine Physician
37145TNMDFamily Medicine Physician
0024183845VAMDFamily Medicine Physician
112208WVMDFamily Medicine Physician
000668GAMDPhysical Therapist
5007942NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Family CurrentSince May 1, 2022 Accepting new patients
MC Diagnostic of Connecticut, P.C. Family CurrentSince Aug 26, 2022 Accepting new patients
Medical Group of New York, P.C. Family CurrentSince Oct 14, 2022 Accepting new patients
Minuteclinic Diagnostic of New Jersey LLC Family Medicine CurrentSince Oct 15, 2022 Accepting new patients
Minuteclinic Diagnostic of Tennessee PC Family CurrentSince Nov 13, 2024 Accepting new patients
Minuteclinic Diagnostic of Virginia LLC Family CurrentSince May 31, 2022 Accepting new patients
Minuteclinic Diagnostic of North Carolina PC Family CurrentSince Sep 28, 2015 Accepting new patients

Locations

3514 Main St
Coventry, CT 06238
Phone (860) 298-5925

323 Cromwell Ave
Rocky Hill, CT 06067
Phone (860) 384-9666

2782 N Cobb Pkwy NW
Kennesaw, GA 30152
Phone (770) 420-1092

11710 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 754-0141

7207 Rockbridge Rd
Stone Mtn, GA 30087
Phone (770) 469-2002

11 River Ridge Dr
Asheville, NC 28803
Phone (828) 298-6350

6840 Glenwood Ave
Raleigh, NC 27612
Phone (401) 770-4415

471 Main St
Chatham, NJ 07928
Phone (973) 635-4636

4 Ryan Rd
Marlboro, NJ 07746
Phone (732) 431-8700

107 S Country Rd
Bellport, NY 11713
Phone (631) 286-2222

1200 Gallatin Pike S
Madison, TN 37115
Phone (615) 868-2150

3715 Hillsboro Rd
Nashville, TN 37215
Phone (615) 385-0622

19305 Ruby Dr
Leesburg, VA 20176
Phone (571) 333-5918

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760659200000",
    "number": "1114395423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 RIVER RIDGE DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "28803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 RIVER RIDGE DR",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288031299",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROUSH",
        "first_name": "KATHRYN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-03",
        "last_updated": "2025-10-17",
        "certification_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "F35053201",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "SP025918",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "000668",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0024183845",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "112208",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "CP002370",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "10894",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "26NJ01378000",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5007942",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "12070",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "26068",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "37145",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ND",
            "license": "R52115",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.