Active NPI
Kathy Rouse
- Prosthetics Case Management
- Covington, GA
National Provider Identifier
1659839215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- License
- CO58220
- Practice address
- 35 Manas CT
Covington, GA 30016-1100 - Phone
- (678) 521-2262
- NPI assigned
- Mar 3, 2019
- 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 |
|---|---|---|---|---|
| Prosthetics Case Management | 1744P3200X | CO58220 | GA | Primary |
Addresses
Primary practice location
35 Manas CT
Covington, GA 30016-1100
Mailing address
35 Manas CT
Covington, GA 30016-1100
Phone (678) 521-2262
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO58220 | GA | MD | Prosthetics Case Management |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551571200000",
"number": "1659839215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 MANAS CT",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300161100",
"telephone_number": "678-521-2262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "35 MANAS CT",
"city": "COVINGTON",
"state": "GA",
"postal_code": "300161100",
"telephone_number": "678-521-2262"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUSE",
"first_name": "KATHY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-03",
"last_updated": "2019-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "GA",
"license": "CO58220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Covington, GA
- Deanna Yolanda Ross, MD
- Lawanna Ross
- Nicole Evans Ross, MD
- Aaron Rossi, D.C.
- Roswell Chiropractis Life Center (Back To Health Chiropractic)
- Diana Rowe
- Royal Cottage Inc
- Cassandra Joanne Royal, MA, LPC, CPCS, CCM
- Janet Bernice Royals, M.S., PHARM.D.
- Royalty Healthcare Solutions, LLC (Royalty Healthcare Solutions)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.