Individual provider Active NPI

Kathleen Marie Roeder, M.S., A.R.N.P., B.C.

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • New Port Richey, FL
National Provider Identifier
1447227996
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X
License
ARNP519902 Issued in FL
Practice address
9912 Little Rd
VA Outpatient Clinic Pasco
New Port Richey, FL 34654-3419
Phone
(727) 869-4153
Fax
(727) 869-4193
NPI assigned
Mar 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X ARNP519902 FL
Adult Psychiatric/Mental Health Clinical Nurse Specialist 364SP0809X ARNP519902 FL Primary

Addresses

Primary practice location

9912 Little Rd
VA Outpatient Clinic Pasco
New Port Richey, FL 34654-3419

Mailing address

10248 Arrow Creek Rd
New Port Richey, FL 34655-4305
Phone (727) 375-9361

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
ARNP519902FLMDAdult Psychiatric/Mental Health Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1447227996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10248 ARROW CREEK RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346554305",
            "telephone_number": "727-375-9361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9912 LITTLE RD",
            "address_2": "VA OUTPATIENT CLINIC PASCO",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346543419",
            "telephone_number": "727-869-4153",
            "fax_number": "727-869-4193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROEDER",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "credential": "M.S., A.R.N.P., B.C.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-03",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP519902",
            "primary": false
        },
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "FL",
            "license": "ARNP519902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Port Richey, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.