Individual provider Active NPI

Kathryn Rozell, FNP-C

  • Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1912418393
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP135387 Issued in TX
Practice address
5252 Golden Triangle Blvd Ste 500
Fort Worth, TX 76244-3202
Phone
(682) 212-9134
NPI assigned
Oct 12, 2017
Last updated
Jun 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP135387 TX Primary

Addresses

Primary practice location

5252 Golden Triangle Blvd Ste 500
Fort Worth, TX 76244-3202

Mailing address

5252 Golden Triangle Blvd Ste 500
Fort Worth, TX 76244-3202
Phone (682) 212-9134

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address krozell688899@Direct.TexasHealth.org Health Information Exchange (HIE)
Direct Messaging Address krozell688899@Direct.TexasHealth.org Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180118000149 TX Practitioner - Nurse Practitioner 3577822667 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP135387TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Health Urgent Care Current Accepting new patients
Texas Health Urgent Care CurrentSince Jun 28, 2021 Accepting new patients
Texas Health Urgent Care CurrentSince Jun 28, 2021 Accepting new patients
Texas Health Urgent Care Current Accepting new patients
Texas Health Urgent Care Current Accepting new patients

Locations

6411 E Northwest Hwy
Dallas, TX 75231
Phone (469) 495-9110

6411 E Northwest Hwy
Ste 120
Dallas, TX 75231
Phone (469) 495-9110

5252 Golden Triangle Blvd
Ste 500
Fort Worth, TX 76244
Phone (682) 212-9134

125 Davis Blvd
Southlake, TX 76092
Phone (682) 212-9104

Interoperability endpoints

  • Direct secure messaging: krozell688899@direct.texashealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1507766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1912418393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5252 GOLDEN TRIANGLE BLVD STE 500",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762443202",
            "telephone_number": "682-212-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5252 GOLDEN TRIANGLE BLVD STE 500",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762443202",
            "telephone_number": "682-212-9134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZELL",
        "first_name": "KATHRYN",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-12",
        "last_updated": "2023-06-08",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP135387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krozell688899@Direct.TexasHealth.org",
            "affiliation": "N",
            "endpointDescription": "THUC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5252 Golden Triangle Blvd Ste 500",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "762443202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "krozell688899@Direct.TexasHealth.org",
            "affiliation": "N",
            "endpointDescription": "Health Information Exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5252 Golden Triangle Blvd Ste 500",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "762443202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.