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KATHERINE RAE NETTLES PA-C NPI 1215413521


NPI Information

NPI: 1215413521
Provider Name: KATHERINE RAE NETTLES, PA-C
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: UNIVERSITY ORTHOPAEDIC ASSOCIATES OF ROCHESTER

PECOS Registration: Yes

Address:
1000 SOUTH AVE
ROCHESTER, NY
ZIP 14620
Phone: (585) 473-2200
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Katherine Rae Nettles, PA-C is a medical physician assistant in Rochester, NY with 6 years of experience. Katherine Rae Nettles, PA-C NPI is 1215413521. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1000 SOUTH AVE
ROCHESTER, NY
ZIP 14620-782
Phone: (585) 473-2200

The NPI 1215413521 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/19/2018 and was last updated on 3/19/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363AM0700XPhysician AssistantMedical022924NEW YORKYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.