Active NPI
Daniela Wotke, RN, PHN, NP
- Nurse Practitioner
- San Francisco, CA
National Provider Identifier
1043470271
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Dec 20, 2020.
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 18335
- Practice address
- 160 Capp St
San Francisco, CA 94110-1210 - Phone
- (415) 621-8051
- NPI assigned
- Jun 11, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 683389 | CA | |
| Nurse Practitioner | 363L00000X | 18335 | CA | Primary |
Addresses
Primary practice location
160 Capp St
San Francisco, CA 94110-1210
Mailing address
160 Capp St
San Francisco, CA 94110-1210
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
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 683389 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1216598400000",
"number": "1043470271",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "160 CAPP ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941101210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "160 CAPP ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941101210",
"telephone_number": "415-621-8051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOTKE",
"first_name": "DANIELA",
"credential": "RN, PHN, NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-11",
"last_updated": "2008-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "683389",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "18335",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.