Katie Jo Rood

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71014001A Issued in IN

Practice address

3540 Pump Rd
Richmond, VA 23233-1115

Phone

(804) 404-6270

Fax

(804) 294-2775

NPI assigned

Oct 21, 2021

Last updated

Jan 13, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Locations

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

• Holon Health Great Lakes, P.C.

  dba Holon Health

  • Family Medicine Physician
  • Glen Allen, VA
  • NPI 1194414805

  IN

  Medicare reassignment NPD
• Cleanslate Medical Group of Indiana LLC

  • Addiction Medicine (Internal Medicine) Physician
  • Alexandria, IN
  • NPI 1023464294
  Medicare reassignment NPD

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

{
    "created_epoch": "1634774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1215690623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 PUMP RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331115",
            "telephone_number": "804-404-6270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 PUMP RD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232331115",
            "telephone_number": "804-404-6270",
            "fax_number": "804-294-2775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "734 Denali Loop Apt C",
            "address_purpose": "LOCATION",
            "city": "Eielson AFB",
            "state": "AK",
            "postal_code": "997021028",
            "country_code": "US",
            "telephone_number": "317-339-6615",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "575 Riverstone Way Ste C",
            "address_purpose": "LOCATION",
            "city": "Fairbanks",
            "state": "AK",
            "postal_code": "997092939",
            "country_code": "US",
            "telephone_number": "907-450-3330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROOD",
        "first_name": "KATIE",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-21",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AK",
            "license": "186381",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71014001A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "AK",
            "license": "NURR37093",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28200849A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald M. Landess DPM, PC
• Ronald McDonald House Charities of Richmond
• Camille Louise Ronesi, DPT
• Dylashia Roney
• Nicholas G Roney, MD
• William U Roodman, DC
• Caroline Virginia Root
• Rooted Beliefs Therapy & Wellness PLLC
• Rooted in Function, LLC
• Rooted Motion Physical Therapy

• Family Nurse Practitioner in Richmond, VA
• Providers in Richmond, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.