Individual provider Active NPI

Katie Viehmann-Wical, MPH, MCHES, RCP, RRT

  • Health Educator
  • Fontana, CA
National Provider Identifier
1023542552
Registry record updated Apr 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health EducatorTaxonomy code 174H00000X
License
7034 Issued in CA
Practice address
17296 Slover Ave
Palm Court 1
Fontana, CA 92337-7585
Phone
(909) 609-3039
NPI assigned
Apr 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X 7034 CA Primary
Registered Respiratory Therapist 227900000X 12480 CA

Addresses

Primary practice location

17296 Slover Ave
Palm Court 1
Fontana, CA 92337-7585

Mailing address

17296 Slover Ave
Palm Court 1
Fontana, CA 92337-7585
Phone (909) 609-3039

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
7034CAMDHealth Educator
12480CAMDRegistered Respiratory Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491868800000",
    "number": "1023542552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17296 SLOVER AVE",
            "address_2": "PALM COURT 1",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923377585",
            "telephone_number": "909-609-3039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17296 SLOVER AVE",
            "address_2": "PALM COURT 1",
            "city": "FONTANA",
            "state": "CA",
            "postal_code": "923377585",
            "telephone_number": "909-609-3039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIEHMANN-WICAL",
        "first_name": "KATIE",
        "credential": "MPH, MCHES, RCP, RRT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-11",
        "last_updated": "2017-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "CA",
            "license": "7034",
            "primary": true
        },
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "CA",
            "license": "12480",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fontana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.