MRS. KATELYN MARIE ROTH (NPI# 1184277444) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184277444 |
| Entity Type | Individual |
| Full Name | MRS. KATELYN MARIE ROTH |
| Other Name | KATELYN MARIE DEPOLIS |
| Credential | MSN APRN AGCNS-BC |
| Practice Address |
1500 Red River St Austin TX 78701-1918 |
| Mailing Address |
1114 Linden St Bldg 1 Austin TX 78702-3045 |
| Practice Telephone | 5123247000 |
| Mailing Telephone | 7634383544 |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2019-07-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
30810 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316409089 | Katelyn Roth | Case Manager/Care Coordinator | 108 E Sanders St, Gonzales, LA 70737-3144 | 2019-04-02 |
| 1083795835 | Katelyn Mcnulty Roth | Physician Assistant | 75 Francis Street, Brigham and Women's Hospital, Boston, MA 02115 | 2006-10-18 |
| Street Address |
1500 RED RIVER ST |
| City | AUSTIN |
| State | TX |
| Zip Code | 78701-1918 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821079559 | Paul E Tatum | Family Medicine | 1500 Red River St, Austin, TX 78701-1918 | 2005-11-09 |
| 1720604218 | Ifeoluwapo Abraham Bankole | Student in an Organized Health Care Education/Training Program | 1500 Red River St, Austin, TX 78701-1918 | 2020-06-19 |
| 1811511967 | Brandon Herrera-doerre | Internal Medicine | 1500 Red River St, Austin, TX 78701-1918 | 2020-06-04 |
| 1609490663 | Jose Jose Viramontes | Student in an Organized Health Care Education/Training Program | 1500 Red River St, Austin, TX 78701-1918 | 2020-06-04 |
| 1760006084 | Hannah Gaylord Standley | Pharmacist | 1500 Red River St, Austin, TX 78701-1918 | 2020-06-02 |
| 1740804285 | Alexander Thomas Mazal | Student in an Organized Health Care Education/Training Program | 1500 Red River St, Austin, TX 78701-1918 | 2020-06-01 |
| 1205459930 | Ferzana Hossain | Internal Medicine | 1500 Red River St, Austin, TX 78701-1918 | 2020-05-28 |
| 1023631801 | Matthew Harrison Perez | Student in an Organized Health Care Education/Training Program | 1500 Red River St, Austin, TX 78701-1918 | 2020-05-27 |
| 1295358034 | Joshua Leon Crapps | Student in an Organized Health Care Education/Training Program | 1500 Red River St, Austin, TX 78701-1918 | 2020-05-27 |
| 1063035954 | Jason Scott Hutzler | Student in an Organized Health Care Education/Training Program | 1500 Red River St, Austin, TX 78701-1918 | 2020-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710501820 | Megan Elise Gittins | Student in an Organized Health Care Education/Training Program | Ut Austin Dell Medical School 1400 Ih-35, Cec 300, Austin, TX 78701 | 2020-06-04 |
| 1306467956 | Jason Russell Paxman | Internal Medicine | Dell Seton Medical Center 1500 Red River, Austin, TX 78701 | 2020-05-05 |
| 1992326078 | Sarah N Ibanez Shaw | Emergency Medicine | Ut Austin Dell Medical School Em Residency Program, 1400 N. I-35, Suite 2.230, Austin, TX 78701 | 2020-04-30 |
| 1215558689 | Margaret Marie Coates | Student in an Organized Health Care Education/Training Program | 1400 N Interstate Highway 35, Cec 2.404, Austin, TX 78701 | 2020-04-27 |
| 1740817956 | Woody Starcloud Green | Emergency Medicine | Dell Emergency Medicine Residency Program, 1400 N. Interstate Hwy 35, Suite 2.230, Austin, TX 78701 | 2020-03-26 |
| 1235771403 | Central Ortho Assists Pllc | Physician Assistant | 501 Congress, Suite 150, Austin, TX 78701 | 2019-10-09 |
| 1114575792 | Shyneice Lasha Gaddis | Behavior Technician | 100 Congress Ave Suite 2000, Austin, TX 78701 | 2019-08-28 |
| 1245887355 | Jonathan Thomas Mason | Family Medicine | 1400 N-ih 35, Dell Seton Medical Center, Ste C2.410, Austin, TX 78701 | 2019-08-22 |
| 1538726195 | Zahra Virginia Cain-akbar | Student in an Organized Health Care Education/Training Program | Ut Dell Medical, 1500 Red River St, Austin, TX 78701 | 2019-05-20 |
| 1457918021 | Sara Lugonjic | Student in an Organized Health Care Education/Training Program | Ut Austin Dell Medical School Neurology Program, 1400 Ih- 35, Cec 300, Austin, TX 78701 | 2019-05-20 |
| Find all providers in zip 78701 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831797018 | Elizabeth Lynn Stevie | Clinical Nurse Specialist | 4315 Red Cloud Dr, Austin, TX 78759-4240 | 2020-10-11 |
| 1467954347 | Brianna Jean Lillehei | Clinical Nurse Specialist | 4525 Guadalupe St Apt 208, Austin, TX 78751-3097 | 2018-03-06 |
| 1275949802 | Rebekah Hamner | Clinical Nurse Specialist | 1111 W 34th St Ste 210, Austin, TX 78705-1916 | 2014-07-02 |
| 1962838284 | Carol Lynn Delville | Clinical Nurse Specialist | 4107 Medical Pkwy 210, Austin, TX 78756-3738 | 2013-09-18 |
| 1063852069 | Doctors Weight Loss Center & Wellness | Clinical Nurse Specialist | 11215 S Interstate 35, Suite 114, Austin, TX 78747-1863 | 2013-07-05 |
| 1982943015 | Shane Cristina Concepcion | Clinical Nurse Specialist | 1221 W Ben White Blvd Ste 100a, Austin, TX 78704-7792 | 2013-02-08 |
| 1023388725 | Sarah Granger-glauser | Clinical Nurse Specialist | 711f W 38th St, Austin, TX 78705-1105 | 2012-01-11 |
| 1386914612 | Robin Marie Mccray Choban Han | Clinical Nurse Specialist | 6611 River Place Blvd Ste 203, Austin, TX 78730 | 2012-01-03 |
| 1629354618 | Charisse Soller | Clinical Nurse Specialist | 13450 N Hwy 183, Suite 115, Austin, TX 78750-3239 | 2011-10-23 |
| 1356623011 | Austin Home Heart Care LLC | Clinical Nurse Specialist | 6429 Clay Allison Pass, Austin, TX 78749-2702 | 2011-09-19 |
| Find all providers in AUSTIN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.