Individual provider Active NPI

Katharine Judson Rose, M.D.

  • Family Medicine Physician
  • Metairie, LA
National Provider Identifier
1407985864
Registry record updated Apr 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
201310 Issued in LA
Practice address
3305 Metairie Rd Ste 1
Metairie, LA 70001-5215
Phone
(504) 434-2330
Fax
(504) 885-0820
NPI assigned
Mar 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 201310 LA Primary

Addresses

Primary practice location

3305 Metairie Rd Ste 1
Metairie, LA 70001-5215

Mailing address

218 Friedrichs Ave
Metairie, LA 70005-4517
Phone (504) 434-2330

Other names 1

  • Dr. Katharine Ann Judson Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080125000458 LA Practitioner - Family PracticePractitioner - Emergency Medicine 1557443892 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3305 Metairie Rd
Suite 1
Metairie, LA 70001-5215
Phone (504) 434-2330

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
201310LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffcare CurrentSince Aug 4, 2014 Accepting new patients
In and Out Urgent Care, LLC CurrentSince Apr 21, 2014 Accepting new patients
Lakeside Physician Associates, LLC Past Accepting new patients

Locations

3616 S I 10 Service Rd W
Ste 100
Metairie, LA 70001
Phone (504) 838-5215

3616 S I 10 Service Rd W
Ste 200
Metairie, LA 70001
Phone (504) 535-2430

6225 S Claiborne Ave
New Orleans, LA 70125
Phone (504) 864-8080

Organizations & group practices 4

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.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1172880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555027200000",
    "number": "1407985864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "218 FRIEDRICHS AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700054517",
            "telephone_number": "504-434-2330",
            "fax_number": "504-885-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3305 METAIRIE RD STE 1",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700015215",
            "telephone_number": "504-434-2330",
            "fax_number": "504-885-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "KATHARINE",
        "middle_name": "JUDSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-03",
        "last_updated": "2019-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "201310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHARINE",
            "last_name": "JUDSON",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Metairie, LA

Sources for this page

Verify at the official NPI Registry.