Kathleen Connole Rodman, APRN

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

193462-4405 Issued in UT

Practice address

508 E South Temple
Ste 205
Salt Lake City, UT 84102-1013

Phone

(801) 596-0100

Fax

(801) 596-8800

NPI assigned

May 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Christopher J. Jolles MD, PC

  • Specialist
  • Riverton, UT
  • NPI 1003095506
  NPD (past)

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220486400000",
    "number": "1760439574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 DOUGLAS ST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022610",
            "telephone_number": "801-583-9639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "508 E SOUTH TEMPLE",
            "address_2": "STE 205",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841021013",
            "telephone_number": "801-596-0100",
            "fax_number": "801-596-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODMAN",
        "first_name": "KATHLEEN",
        "middle_name": "CONNOLE",
        "name_prefix": "Ms.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2008-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "UT",
            "license": "193462-4405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SELECT HEALTH",
            "identifier": "107019359102",
            "state": "UT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• George M Rodgers, M.D.
• Lauren Rodgers
• Reed Rodich
• Elizabeth Ann Rodie, DDS, MPH
• Casie Ann Rodine
• Rodrick D McKinlay MD PC
• Dee Dee Marie Rodrick
• Maricruz Olivier Rodriguez Ahumada
• Carlos E. Rodriguez Correa, MD
• Pablo Andres Rodriguez Covili, M.D.

• Women's Health Nurse Practitioner in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Women's Health Nurse Practitioner in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2008; 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.