Individual provider Active NPI

Kasey Theodora Rothchild, FNP-C

  • Family Nurse Practitioner
  • Crown Point, IN
National Provider Identifier
1912608092
Registry record updated Dec 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71013702A Issued in IN
Practice address
123 N Court St
Crown Point, IN 46307-3931
Phone
(219) 213-2320
NPI assigned
Mar 15, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71013702A IN Primary

Addresses

Primary practice location

123 N Court St
Crown Point, IN 46307-3931

Mailing address

123 N Court St
Crown Point, IN 46307-3931
Phone (219) 213-2320

Other names 1

  • Kasey Theodora Kulesa Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20230430000008 IN Order and Referring Only - Nurse Practitioner 8628433489

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
71013702AINMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: kasey.rothchild.p1@direct.northshorehealth.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1678838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733443200000",
    "number": "1912608092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 N COURT ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463073931",
            "telephone_number": "219-213-2320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 N COURT ST",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463073931",
            "telephone_number": "219-213-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTHCHILD",
        "first_name": "KASEY",
        "middle_name": "THEODORA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-15",
        "last_updated": "2024-12-06",
        "certification_date": "2024-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71013702A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KASEY",
            "last_name": "KULESA",
            "middle_name": "THEODORA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Crown Point, IN

Sources for this page

Verify at the official NPI Registry.