KATHERINE WHITLEY


Address: 1260 N Dutton Ave, #275, Santa Rosa, CA 95401-4659
Phone: 7072067268

KATHERINE WHITLEY (NPI# 1801224043) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 1260 N DUTTON AVE
#275
City SANTA ROSA
State CA
Zip Code 95401-4659

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316236656 Lisa Nadyne Molinaro Nurse Practitioner 3569 Round Barn Cir, Santa Rosa, CA 95403-5781 2011-04-06

Providers in the same taxonomy and state

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1033718580 John Sylvanus Allieu Sr. Nurse Practitioner 2672 Merganser Ct, Los Banos, CA 93635-9473 2020-10-25
1316546930 Chika U Oguagha Nurse Practitioner 16240 Carmine St, Fontana, CA 92336-1481 2020-10-23
1215534888 Rosa Maria Aguero Nurse Practitioner 9841 Alburtis Ave Unit 29, Santa Fe Springs, CA 90670-3264 2020-10-06
1134726995 Margarita Maghtesyan Nurse Practitioner 20251 Ventura Blvd Ste A, Woodland Hills, CA 91364-2564 2020-10-05
1043827140 April Lopez Ortiz Nurse Practitioner 500 W Ashland Ct, Visalia, CA 93277-6609 2020-09-23
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
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Competitor

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City SANTA ROSA
Zip Code 95401

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Dataset Information

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.

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