Active NPI
Katrina Megan Lertola
- Midwife
- Carlsbad, CA
National Provider Identifier
1083125652
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Midwife
- License
- 523
- Practice address
- 1251 Knowles Ave
Carlsbad, CA 92008-1545 - Phone
- (609) 744-2639
- NPI assigned
- Oct 23, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Doula | 374J00000X | |||
| Midwife | 176B00000X | 523 | CA | Primary |
Addresses
Primary practice location
1251 Knowles Ave
Carlsbad, CA 92008-1545
Mailing address
1251 Knowles Ave
Carlsbad, CA 92008-1545
Phone (609) 744-2639
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
| License | State | Type | Specialty |
|---|---|---|---|
| 523 | CA | MD | EEG Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1508716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522627200000",
"number": "1083125652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1251 KNOWLES AVE",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920081545",
"telephone_number": "609-744-2639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1251 KNOWLES AVE",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920081545",
"telephone_number": "609-744-2639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LERTOLA",
"first_name": "KATRINA",
"middle_name": "MEGAN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-23",
"last_updated": "2018-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": false
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "CA",
"license": "523",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carlsbad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.