Kathleen M. Rathke, MSN, AGNP, RN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

28112112A Issued in IN

Practice address

720 Eskenazi Ave
Iuhp Geriatrics/ Optimistic Project, Suite F2-600
Indianapolis, IN 46202-5189

Phone

(317) 880-6574

NPI assigned

Jun 17, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454198400000",
    "number": "1699156448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 ESKENAZI AVE",
            "address_2": "IUHP GERIATRICS/ OPTIMISTIC PROJECT, SUITE F2-600",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025189",
            "telephone_number": "317-202-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 ESKENAZI AVE",
            "address_2": "IUHP GERIATRICS/ OPTIMISTIC PROJECT, SUITE F2-600",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025189",
            "telephone_number": "317-880-6574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATHKE",
        "first_name": "KATHLEEN",
        "middle_name": "M.",
        "credential": "MSN, AGNP, RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-17",
        "last_updated": "2016-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "IN",
            "license": "28112112A",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "IN",
            "license": "28112112A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lonzell Anthony Ratcliff
• Brooke Ratcliffe, NP
• Casey Rathburn, PA-C
• Colena Marie Rathburn, PA-C
• Stephanie Elizabeth Rathjen, DO
• Brent Richard Ratliff
• Donald Ratliff Jr., LMHC
• Hannah Ratliff, DPT
• Kyle Ratliff, DDS
• La-Risha Reshawn Ratliff, LMHC, LCAC

• Adult Health Nurse Practitioner in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Adult Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2016; 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.