Active NPI
Katelyn Rodgers
- Primary Care Nurse Practitioner
- Denver, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 2021230465
- Practice address
- 1850 W 46TH Ave
Denver, CO 80211-1240 - Phone
- (802) 752-7201
- NPI assigned
- Mar 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 2021230465 | CO | Primary |
Addresses
Primary practice location
1850 W 46TH Ave
Denver, CO 80211-1240
Mailing address
1850 W 46TH Ave
Denver, CO 80211-1240
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO, OH, NC, OR, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
106 Langtree Village Dr
Suite 301
Mooresville, NC 28117-7594
Phone (888) 288-4715
111 SW Naito Pkwy
Suite 200
Portland, OR 97204-3512
Phone (503) 563-7370
20046 Walker Rd
Suite 7
Shaker Heights, OH 44122-3645
Phone (503) 208-5061
915 Broadway St
Suite 137
Vancouver, WA 98660-3278
Phone (503) 208-5061
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021230465 | CO | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Altitude Family & Internal Medicine, LLC | Current | Accepting new patients | |
| Infusion for Health, P.C. | Current | Accepting new patients | |
| Infusion for Health, P.C. | Current | Accepting new patients | |
| Boulder Care Provider Group PA | Current | Accepting new patients | |
| Performax Front Range Physical Therapy LLC | Past | Accepting new patients |
Locations
135 S State College Blvd
Ste 350
Brea, CA 92821
1109 Oak Park Dr
Ste 125
Fort Collins, CO 80525
3555 Stanford Rd
Ste 115
Fort Collins, CO 80525
8200 E Belleview Ave
Ste 505E
Greenwood Village, CO 80111
Phone (303) 741-0235
13402 W Coal Mine Ave
Ste 230
Littleton, CO 80127
Phone (303) 730-2167
1615 Foxtrail Dr
Bldg A
Loveland, CO 80538
9351 Grant St
Ste 110
Thornton, CO 80229
Phone (303) 407-1990
106 Langtree Village Dr
Ste 301
Mooresville, NC 28117
Phone (704) 457-1368
20046 Walker Rd
Ste 7
Shaker Heights, OH 44122
Phone (503) 208-5061
111 SW Naito Pkwy
Ste 200
Portland, OR 97204
Phone (503) 208-5061
915 Broadway St
Ste 137
Vancouver, WA 98660
Phone (503) 208-5061
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Addiction Medicine (Family Medicine) Physician
- Portland, OR
- NPI 1649838590
CO, NC, OH, WA
-
- Primary Care Clinic/Center
- Littleton, CO
- NPI 1720269020
-
- Infusion Therapy Clinic/Center
- Thornton, CO
- NPI 1891433470
-
- Infusion Therapy Clinic/Center
- Fort Collins, CO
- NPI 1932952777
-
- Physical Therapist
- Denver, CO
- NPI 1093877565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648425600000",
"number": "1629728878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 W 46TH AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802111240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 W 46TH AVE",
"city": "DENVER",
"state": "CO",
"postal_code": "802111240",
"telephone_number": "802-752-7201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODGERS",
"first_name": "KATELYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-28",
"last_updated": "2022-03-28",
"certification_date": "2022-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "CO",
"license": "2021230465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2022; 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.