MEDICARE: KATHERINE DELLA ROCCO APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	0024188848	VA
2	363LF0000X	Family Nurse Practitioner	5019338	NC
3	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	APN.0999170-NP	CO
4	363L00000X	Nurse Practitioner	APN.0999170-NP	CO

General Provider Information

NPI Number	:	1164128534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHERINE DELLA ROCCO APRN

Provider Business Mailing Address
First Line	:	295 E 29TH ST STE 70
Second Line	:
City	:	LOVELAND
State	:	CO
Zip	:	80538-2743
Country	:	US
Telephone Number	:	252-263-8199
Fax Number	:

Provider Business Practice Location Address
First Line	:	3050 DURALEIGH RD STE 111
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27612-5451
Country	:	US
Telephone Number	:	984-215-6990
Fax Number	:	984-215-6991

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/06/2023
Last Update Date	:	12/04/2025

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