Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Catherine Kagotho

Individual provider Family Nurse Practitioner · NPI 1740714724

Catherine Kagotho is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2016, 10 years ago. Practices with Southeastern Physician Services PC, a 598-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
10
Licensed in
IL, MO
In the registry since
2017
Specialties on file
2

Practice location Address checks out

1027 Bellevue Ave
Saint Louis, MO 63117-1996
Phone: (314) 768-5202
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9915 Broadmoor Dr, Overland, MO 63114 — (314) 269-6190

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 2016031428 (MO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 209015440 (IL)

Record details

NPI number1740714724
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 17, 2017
Last updated in NPPESMay 10, 2021
Certification dateMay 10, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Southeastern Physician Services Pc — 598 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Saint Louis