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NPI Code Detail

MEDICARE: KATIE JO ROOD

MEDICARE:   KATIE JO ROOD
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
1163W00000XRegistered NurseNURR37093AK
2163W00000XRegistered Nurse28200849AIN
3363LF0000XFamily Nurse Practitioner186381AK
4363LF0000XFamily Nurse Practitioner71014001AIN

General Provider Information

NPI Number : 1215690623
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATIE JO ROOD
Provider Business Mailing Address
First Line : 3540 PUMP RD
Second Line :
City : RICHMOND
State : VA
Zip : 23233-1115
Country : US
Telephone Number : 804-404-6270
Fax Number :
Provider Business Practice Location Address
First Line : 3540 PUMP RD
Second Line :
City : RICHMOND
State : VA
Zip : 23233-1115
Country : US
Telephone Number : 804-404-6270
Fax Number : 804-294-2775
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2021
Last Update Date : 01/13/2025

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Directions to “ KATIE JO ROOD ” Practice Location

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