KATHRYN BROTZGE (NPI# 1053318626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053318626 |
| Entity Type | Individual |
| Full Name | KATHRYN BROTZGE |
| Other Name | KATHY BROTZGE |
| Credential | APRN |
| Practice Address |
2215 Portland Ave Louisville KY 40212-1033 |
| Practice Telephone | 5027748631 |
| Practice Fax Number | 5027768912 |
| Mailing Telephone | 5027748631 |
| Mailing Fax Number | 5027768912 |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2014-09-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
3003553 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ANTHEM | 000000375114 | 01 | |
| KY | 78015735 | 05 |
| Street Address |
2215 PORTLAND AVE |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40212-1033 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003810920 | Julia E Richerson | Pediatrics | 2215 Portland Ave, Louisville, KY 40212-1033 | 2005-06-09 |
| 1609431097 | Pamela Lynn Ratcliffe | Social Worker | 2215 Portland Ave, Louisville, KY 40212-1033 | 2019-05-01 |
| 1518453075 | Dana Renee Singletary | Nurse Practitioner | 2215 Portland Ave, Louisville, KY 40212-1033 | 2018-07-09 |
| 1881105823 | Emily B Franck | Nurse Practitioner | 2215 Portland Ave, Louisville, KY 40212-1033 | 2017-10-17 |
| 1952754749 | Bradley Randall Congleton | Dentist | 2215 Portland Ave, Louisville, KY 40212-1033 | 2016-07-18 |
| 1164874160 | Patricia Guzman Rojas | Family Medicine | 2215 Portland Ave, Louisville, KY 40212-1033 | 2016-07-01 |
| 1750738936 | Paula W. Minervino | Nurse Practitioner | 2215 Portland Ave, Louisville, KY 40212-1033 | 2016-05-18 |
| 1043670391 | Rod Ali Erfani | Dentist | 2215 Portland Ave, Louisville, KY 40212 | 2016-02-29 |
| 1013389022 | Izegbea M. Cannon | Nurse Practitioner | 2215 Portland Ave, Louisville, KY 40212-1033 | 2015-10-29 |
| 1659742914 | Tonia Marie Snyder-myers | Nurse Practitioner | 2215 Portland Ave, Louisville, KY 40212-1033 | 2015-10-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003433111 | Shanita Flanagan | Home Health Aide | 4519 Southwestern Parkway, Louisville, KY 40212 | 2020-07-06 |
| 1184118887 | Denise Goldsmith-kelley | Licensed Practical Nurse | 2611 Northwestern Pkwy, Louisville, KY 40212 | 2018-06-18 |
| 1477605426 | Market St Dental Office Psc | Dentist | 2410 West Market St, Louisville, KY 40212 | 2007-01-18 |
| 1528118601 | Portland Dental Psc | Clinic/Center | 465 North 26th Street, Louisville, KY 40212 | 2007-01-11 |
| 1790393643 | Quality Home Care Services, LLC | In Home Supportive Care | 4519 Southwestern Parkway, Same, Louisville, KY 40212 | 2020-07-16 |
| 1659884872 | New Leaf Clinic | Clinic/Center | 2910 W Jefferson St, Louisville, KY 40212 | 2017-11-09 |
| 1164754008 | Deborah J Moreau | Nurse Practitioner | 234 Amy Ave, Louisville, KY 40212 | 2010-02-03 |
| 1982617387 | Julie R Aull | Physician Assistant | 234 Amy Ave, Louisville, KY 40212 | 2006-08-15 |
| 1255816401 | Restoration Center Inc. | Respite Care | 2611 Northwestern Pkwy, Louisville, KY 40212-1029 | 2018-10-03 |
| 1386038040 | Lufield Dialysis LLC | Clinic/Center | 2118 Portland Ave, Louisville, KY 40212-1032 | 2015-03-20 |
| Find all providers in zip 40212 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811594385 | Christine Young | Nurse Practitioner | 6804 Bainbridge Ct, Louisville, KY 40228-2335 | 2020-10-07 |
| 1255948154 | Kathleen B Berghausen | Nurse Practitioner | 4112 Fern Valley Rod, Louisville, KY 40219 | 2020-09-25 |
| 1285243477 | Stephanie Atherton | Nurse Practitioner | 1623 Story Ave, Louisville, KY 40206 | 2020-07-24 |
| 1235768037 | Patricia Amber Estes | Nurse Practitioner | 234 E Gray St Ste 154, Louisville, KY 40202-1903 | 2020-04-03 |
| 1659903201 | Farrah Alayne Thornsberry | Nurse Practitioner | 1400 Browns Ln Ste B, Louisville, KY 40207-4696 | 2020-02-11 |
| 1376101634 | Erin Lee Srader | Nurse Practitioner | 544 Baxter Ave, Louisville, KY 40204-1784 | 2019-06-03 |
| 1104387752 | Kurt F Kristiansen | Nurse Practitioner | 1862 Douglass Blvd, Louisville, KY 40205-1851 | 2019-03-27 |
| 1831573351 | Karen P Black | Nurse Practitioner | 4504 Spring Bay Ct, Louisville, KY 40241-1773 | 2015-07-14 |
| 1366787798 | Kennetha Porter | Nurse Practitioner | 4710 Champions Trace Ln Ste 102, Louisville, KY 40218-3496 | 2012-12-12 |
| 1407104128 | Tammy Rowland Reddington | Nurse Practitioner | 4004 Hurstbroune Woods Drive, Louisville, KY 40299 | 2012-08-28 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40212 |
Please comment or provide details below to improve the information on KATHRYN BROTZGE.
| 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.