Active NPI
Katy Roth
- Student in an Organized Health Care Education/Training Program
- Hopkinsville, KY
National Provider Identifier
1255851242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 735 North Dr
Hopkinsville, KY 42240-2620 - Phone
- (270) 886-5163
- Fax
- (270) 886-0392
- NPI assigned
- Jun 21, 2017
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
735 North Dr
Hopkinsville, KY 42240-2620
Mailing address
830 Peachers Mill Rd
Apt M149
Clarksville, TN 37042-8448
Phone (419) 332-6697
Other practice location 1
222 Stratton Blvd Apt B
Ashland City, TN 37015-2019
Phone (419) 322-6697
Other practice location 2
2400 Russellville Rd
Hopkinsville, KY 42240-8095
Phone (270) 889-6025
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1255851242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 PEACHERS MILL RD",
"address_2": "APT M149",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370428448",
"telephone_number": "419-332-6697"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 NORTH DR",
"city": "HOPKINSVILLE",
"state": "KY",
"postal_code": "422402620",
"telephone_number": "270-886-5163",
"fax_number": "270-886-0392"
}
],
"practiceLocations": [
{
"address_1": "222 Stratton Blvd Apt B",
"address_purpose": "LOCATION",
"city": "Ashland City",
"state": "TN",
"postal_code": "370152019",
"country_code": "US",
"telephone_number": "419-322-6697",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2400 Russellville Rd",
"address_purpose": "LOCATION",
"city": "Hopkinsville",
"state": "KY",
"postal_code": "422408095",
"country_code": "US",
"telephone_number": "270-889-6025",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROTH",
"first_name": "KATY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-21",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hopkinsville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.