Karen Ann Witherly, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

226772 Issued in CA

Practice address

4402 Shearwater Way
Oceanside, CA 92057-7711

Phone

(760) 721-7018

NPI assigned

Aug 20, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• City of Austin

  • Emergency Medical Services (Emergency Medicine) Physician
  • Austin, TX
  • NPI 1083245070
  NPD (past)

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219190400000",
    "number": "1093962094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4402 SHEARWATER WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920577711",
            "telephone_number": "760-721-7018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4402 SHEARWATER WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920577711",
            "telephone_number": "760-721-7018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITHERLY",
        "first_name": "KAREN",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "226772",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "598235",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Joy Winn, LM, CPM
• Emory Smith Winship VIII, D.O.
• Courtney Winters
• Ann Marie Nicole Wise, PTA
• Wit and Reason Wellness a Licensed Clinical Social Worker PC
• Dianne Woelke, NMW
• Whitney Woidtke
• Daniel Lloyd Wolf, L.AC.
• David I. Wolf, MD
• Donna M Wolf, R.D.N., C.L.T., I.F.

• Family Nurse Practitioner in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; 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.