Individual provider Active NPI

Katherine M Romero-Paguada

  • Social Worker
  • Reno, NV
National Provider Identifier
1962059550
Registry record updated Nov 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
11472 Issued in KS
Practice address
4600 Kietzke LN Ste N250
Reno, NV 89502-5000
Phone
(775) 507-7222
NPI assigned
Aug 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 11472 KS Primary

Addresses

Primary practice location

4600 Kietzke LN Ste N250
Reno, NV 89502-5000

Mailing address

4600 Kietzke LN Ste N250
Reno, NV 89502-5000
Phone (775) 507-7222

Other practice location 1

325 SW Frazier Ave
Topeka, KS 66606-1963
Phone (785) 232-5005

Other practice location 2

1905 Blake Ave Ste 101
Glenwood Springs, CO 81601-4206
Phone (970) 945-2840

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241204002289 NV Practitioner - Clinical Social Worker 5092241869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diana Wright Psy D LLCGroup PAC ID 7113263971, 18 clinicians

Practice addresses (Care Compare)

4600 Kietzke LN
Suite N250
Reno, NV 89502-5000
Phone (775) 507-7222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11472KSMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Diana Wright, Psy.D., LLC CurrentSince Oct 7, 2024 Accepting new patients

Locations

4600 Kietzke Ln
Ste N250
Reno, NV 89502
Phone (775) 500-0396

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732665600000",
    "number": "1962059550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 KIETZKE LN STE N250",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895025000",
            "telephone_number": "775-507-7222",
            "fax_number": "775-507-7224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 KIETZKE LN STE N250",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895025000",
            "telephone_number": "775-507-7222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "325 SW Frazier Ave",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666061963",
            "country_code": "US",
            "telephone_number": "785-232-5005",
            "fax_number": "888-972-5038",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1905 Blake Ave Ste 101",
            "address_purpose": "LOCATION",
            "city": "Glenwood Springs",
            "state": "CO",
            "postal_code": "816014206",
            "country_code": "US",
            "telephone_number": "970-945-2840",
            "fax_number": "970-945-8521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROMERO-PAGUADA",
        "first_name": "KATHERINE",
        "middle_name": "M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2024-11-27",
        "certification_date": "2024-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "KS",
            "license": "11472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.