Katherine Eleanor Roarty, APRN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

003050 Issued in CT

Practice address

130 Division St
Derby, CT 06418-1326

Phone

(203) 732-7573

Fax

(203) 732-1146

NPI assigned

Jun 14, 2010

Last updated

Nov 15, 2023By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

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

Specialty

Nurse Practitioner

Education

New York University Medical College - NLG, 2000

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Pulmonary Specialties, P.C.Group PAC ID 8628169539, 3 clinicians

Griffin Faculty Physicians IncGroup PAC ID 7618871997, 125 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Griffin Hospital Hospital, Derby, CT, CCN 070031

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3118/brand/1/csg/1/fhir/r4
• Direct secure messaging: katherine.roarty.2@3118.direct.athenahealth.com

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.

• Griffin Faculty Physicians, Inc.

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Derby, CT
  • NPI 1598755605

  Adult Health

  Medicare reassignment Care Compare group NPD
• Pulmonary Specialties, P.C.

  • Pulmonary Disease Physician
  • Derby, CT
  • NPI 1437354560
  Medicare reassignment Care Compare group NPD
• Impact Health P.C.

  • Nurse Practitioner
  • Orange, CT
  • NPI 1730694316

  Adult Health

  Medicare reassignment NPD
• Park Avenue Endoscopy, PLLC

  • Endoscopy Clinic/Center
  • New York, NY
  • NPI 1669595385
  NPD (past)
• Park Avenue Medical Office, PLLC

  • Allergy & Immunology (Internal Medicine) Physician
  • New York, NY
  • NPI 1013568435
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• The Griffin Hospital

  • General Acute Care Hospital
  • Derby, CT
  • NPI 1184639973
  Care Compare affiliation

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1407177496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 DIVISION ST",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064181326",
            "telephone_number": "203-732-7573",
            "fax_number": "203-732-1146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 DIVISION ST",
            "city": "DERBY",
            "state": "CT",
            "postal_code": "064181326",
            "telephone_number": "203-732-7573",
            "fax_number": "203-732-1146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "999 Summer St",
            "address_2": "Suite 304",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "069055546",
            "country_code": "US",
            "telephone_number": "203-325-5700",
            "fax_number": "203-325-8080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "135 Division St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Ansonia",
            "state": "CT",
            "postal_code": "064012135",
            "country_code": "US",
            "telephone_number": "203-308-0705",
            "fax_number": "203-734-0137",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROARTY",
        "first_name": "KATHERINE",
        "middle_name": "ELEANOR",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-14",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CT",
            "license": "003050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenna Reno, OTR/L
• Giana Antoun Restom
• Grace Riggio, LMSW
• Cesar Augusto Rivera Tovar, M.D.
• Arnold DC Rivera, M.D.
• Robert E. Smith DDS MPH
• Daneille Robertson, LPC-A
• Scott J Rocchio, D.C.
• Alexis L Rodriguez, MD
• Destiny Rodriguez

• Adult Health Nurse Practitioner in Derby, CT
• Providers in Derby, CT by specialty
• Adult Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.