Active NPI
Kerri Lee Rathke, NP
- Nurse Practitioner
- Castle Rock, CO
National Provider Identifier
1669085221
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APN.0995977-NP
- Practice address
- 1189 S Perry St Ste 230
Castle Rock, CO 80104-1959 - Phone
- (303) 408-5368
- NPI assigned
- Aug 24, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Registered Nurse | 163WG0000X | RN.0119360 | CO | |
| Nurse Practitioner | 363L00000X | APN.0995977-NP | CO | Primary |
Addresses
Primary practice location
1189 S Perry St Ste 230
Castle Rock, CO 80104-1959
Mailing address
770 English Sparrow TRL
Highlands Ranch, CO 80129-5653
Phone (303) 870-1738
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN.0119360 | CO | MD | General Practice Registered Nurse |
| APN.0995977-NP | CO | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1598227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603584000000",
"number": "1669085221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 ENGLISH SPARROW TRL",
"city": "HIGHLANDS RANCH",
"state": "CO",
"postal_code": "801295653",
"telephone_number": "303-870-1738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1189 S PERRY ST STE 230",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801041959",
"telephone_number": "303-408-5368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATHKE",
"first_name": "KERRI",
"middle_name": "LEE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-24",
"last_updated": "2020-10-25",
"certification_date": "2020-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "CO",
"license": "RN.0119360",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CO",
"license": "APN.0995977-NP",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Castle Rock, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.