Provider Demographics
NPI:1760208789
Name:JOSEPH, KATERINA (APRN-CNP)
Entity type:Individual
Prefix:
First Name:KATERINA
Middle Name:
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:KATERINA
Other - Middle Name:
Other - Last Name:ROLLINS AND SACHLEBEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:95 S LAUREL RD STE 1
Mailing Address - Street 2:
Mailing Address - City:LONDON
Mailing Address - State:KY
Mailing Address - Zip Code:40744-8300
Mailing Address - Country:US
Mailing Address - Phone:606-770-5086
Mailing Address - Fax:
Practice Address - Street 1:95 S LAUREL RD STE 1
Practice Address - Street 2:
Practice Address - City:LONDON
Practice Address - State:KY
Practice Address - Zip Code:40744-8300
Practice Address - Country:US
Practice Address - Phone:606-770-5086
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-25
Last Update Date:2025-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4036385363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7101061530Medicaid