KATHERINE WHITLEY (NPI# 1801224043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1801224043 |
Entity Type | Individual |
Full Name | KATHERINE WHITLEY |
Other Name | KATHERINE WHITLEY |
Practice Address |
1260 N Dutton Ave #275 Santa Rosa CA 95401-4659 |
Practice Telephone | 7072067268 |
Practice Fax Number | 7072067254 |
Mailing Telephone | 7072067268 |
Mailing Fax Number | 7072067254 |
Enumeration Date | 2013-10-25 |
Last Update Date | 2015-09-10 |
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 |
2014010936 | CA | Physician Assistants & Advanced Practice Nursing Providers |
N | 390200000X | Student in an Organized Health Care Education/Training Program | 824671 | CA | Student, Health Care |
Street Address |
1260 N DUTTON AVE #275 |
City | SANTA ROSA |
State | CA |
Zip Code | 95401-4659 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134149289 | Richard P. Olcese | Clinical Neuropsychologist | 1260 N Dutton Ave, Suite 245, Santa Rosa, CA 95401-4659 | 2006-07-20 |
1720626112 | Samantha Frias | Community Health Worker | 1260 N Dutton Ave, Santa Rosa, CA 95401-4659 | 2019-12-16 |
1447748751 | Sean Avila Saiter | Student in an Organized Health Care Education/Training Program | 1260 N Dutton Ave, Santa Rosa, CA 95401-4659 | 2018-04-23 |
1295105500 | Allison Faris | Psychologist | 1260 N Dutton Ave, Santa Rosa, CA 95401-4659 | 2015-09-29 |
1689093726 | Vergil Hobbs | Clinical Neuropsychologist | 1260 N Dutton Ave, Suite 225, Santa Rosa, CA 95401-4659 | 2014-04-15 |
1447500756 | Peter Behel | Behavioral Analyst | 1260 N Dutton Ave, 175, Santa Rosa, CA 95401-4659 | 2012-09-13 |
1205117876 | Tari Webber | Counselor | 1260 N Dutton Ave, Suite 225, Santa Rosa, CA 95401-4659 | 2011-09-08 |
1619295839 | Lifeworks of Sonoma County | Community/Behavioral Health | 1260 N Dutton Ave, Ste 105 & Ste 244, Santa Rosa, CA 95401 | 2010-05-12 |
1891927281 | Andrew Evan O'neall | Psychologist | 1260 N Dutton Ave, Ste 225, Santa Rosa, CA 95401-4659 | 2009-08-18 |
1487883765 | Patricia P. Spiva | Psychologist | 1260 N Dutton Ave, Santa Rosa, CA 95401-4659 | 2009-07-08 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972148575 | Megan Elizabeth Jones | In Home Supportive Care | 1239 Eardley Ave, Santa Rosa, CA 95401 | 2019-11-07 |
1801447230 | Patty Macisaac | Technician | 3221 Oak Farm Lane, Santa Rosa, CA 95401 | 2019-09-26 |
1386114981 | Victoria Maria Guillory | Dental Hygienist | 140 Stony Point Road, Suite A, Santa Rosa, CA 95401 | 2018-11-27 |
1811470727 | Chemarin Eve Boyd | Student in an Organized Health Care Education/Training Program | 1260 N Dutton Avenue, 225, Santa Rosa, CA 95401 | 2018-09-07 |
1073008181 | Cristavel Camacho | Behavioral Analyst | 1439 Range Ave, #101, Santa Rosa, CA 95401 | 2018-06-30 |
1619479102 | Victoria King | Behavior Technician | 1335 N. Dutton Ave., Santa Rosa, CA 95401 | 2018-03-01 |
1114436060 | Lacey Lynn Palmer | Counselor | 341 Irwin Lane, Santa Rosa, CA 95401 | 2017-09-22 |
1720530587 | Compassionate Homecare Solutions, LLC | In Home Supportive Care | 131 A Stony Circle, Suite 500, Santa Rosa, CA 95401 | 2016-10-27 |
1366998981 | William Glenn | Marriage & Family Therapist | 1496 Willowside Road, Santa Rosa, CA 95401 | 2016-09-01 |
1790144046 | Advocacy Home Nursing, Inc | Home Health | 1400 North Dutton Avenue, Suite 20, Santa Rosa, CA 95401 | 2016-02-15 |
Find all providers in zip 95401 |
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 |
---|---|---|---|---|
1316236656 | Lisa Nadyne Molinaro | Nurse Practitioner | 3569 Round Barn Cir, Santa Rosa, CA 95403-5781 | 2011-04-06 |
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1477167666 | David Joseph Russell | Nurse Practitioner | 17846 Glenwood Rd, Manteca, CA 95336-9521 | 2020-09-03 |
1194339382 | Albert Liu | Nurse Practitioner | 43559 Southerland Way, Fremont, CA 94539-5931 | 2020-09-03 |
1407469554 | Andre Alexandrian | Nurse Practitioner | 1606 Winona Ave, Burbank, CA 91504-2823 | 2020-08-28 |
1790398238 | Heather Richardson | Nurse Practitioner | 112 S Park St Ste 1, San Francisco, CA 94107-1809 | 2020-08-25 |
Find all providers with the same taxonomy |
City | SANTA ROSA |
Zip Code | 95401 |
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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.