St. Rita Psychiatry LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

ST. RITA PSYCHIATRY LLC

Doing business as

St. Rita Psychiatry

Practice address

4780 Village Plaza Loop Ste 200
Eugene, OR 97401-6624

Phone

(541) 306-3173

NPI assigned

Aug 20, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Katherine Leatherman, PMHNP-BCNPI 1598122426

Title

Owner

Phone

(541) 306-3173

Specialties & licenses 1

Addresses

Other names 1

• St. Rita Psychiatry Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Katherine Patricia Leatherman, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Eugene, OR
  • NPI 1598122426
  NPD Authorized official

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

{
    "created_epoch": "1724112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1982436606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780 VILLAGE PLAZA LOOP STE 200",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016624",
            "telephone_number": "541-306-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4780 VILLAGE PLAZA LOOP STE 200",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974016624",
            "telephone_number": "541-306-3173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. RITA PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-20",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "LEATHERMAN",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "541-306-3173",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St. Rita Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William B Sproul, DMD
• Rebecca Ann Spuller, LCSW
• Kaitlin Squier, PT, DPT
• Thomas Charles Sroka, MD
• Jamie St Cyr
• Donald Michael St.Clair, L.M.T.
• Holly Rae St.Lawrence, NTP, CPT, CFG
• Aubrey Staat
• Alanna Machelle Stadstad, PHARMD, MBA, BA
• Tracy J Stafford, MA QMHP

• Psychiatric/Mental Health Nurse Practitioner in Eugene, OR
• Providers in Eugene, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.