Individual provider Active NPI

Caroline Natalie Kotchevar, RN

  • Registered Nurse
  • Rodeo, CA
National Provider Identifier
1205740420
Registry record updated Oct 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95286530 Issued in CA
Practice address
804 Windward Dr
Rodeo, CA 94572-2029
Phone
(510) 331-0111
NPI assigned
Oct 2, 2026
Last updated
Oct 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95286530 CA Primary

Addresses

Primary practice location

804 Windward Dr
Rodeo, CA 94572-2029

Mailing address

804 Windward Dr
Rodeo, CA 94572-2029
Phone (510) 331-0111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1790899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790899200000",
    "number": "1205740420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 WINDWARD DR",
            "city": "RODEO",
            "state": "CA",
            "postal_code": "945722029",
            "telephone_number": "510-331-0111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 WINDWARD DR",
            "city": "RODEO",
            "state": "CA",
            "postal_code": "945722029",
            "telephone_number": "510-331-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTCHEVAR",
        "first_name": "CAROLINE",
        "middle_name": "NATALIE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-02",
        "last_updated": "2026-10-02",
        "certification_date": "2026-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95286530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rodeo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.