Individual provider Active NPI

Lori Katnik, FNP

  • Family Nurse Practitioner
  • Ukiah, CA
National Provider Identifier
1124499413
Registry record updated Nov 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
950002566 Issued in CA
Practice address
260 Hospital Dr
Ukiah, CA 95482-4568
Phone
(707) 463-8000
NPI assigned
Oct 13, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 950002566 CA Primary

Addresses

Primary practice location

260 Hospital Dr
Ukiah, CA 95482-4568

Mailing address

460 Hospital Dr
Ukiah, CA 95482-4545
Phone (707) 463-8000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, CO2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151125000614 CA Practitioner - Nurse Practitioner 1557661436 Reassigns benefits to 4 organizations
I20230807001175 CO Practitioner - Nurse Practitioner 1557661436 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Boulder Community HealthGroup PAC ID 6800707233, 260 clinicians

Practice addresses (Care Compare)

101 Erie Pkwy
Suite 101
Erie, CO 80516-4071
Phone (303) 415-5810

Hospital & facility affiliations

  • Boulder Community Health Hospital, Boulder, CO, CCN 060027

Merit-based Incentive Payment System (MIPS)

Final score
92.68 of 100Reported as apm
Quality
90.42
Promoting interoperability
91.56
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
950002566CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Infusion for Health, P.C. CurrentSince Apr 14, 2024 Accepting new patients
Regents Univ of California UCSF CurrentSince Feb 1, 2019 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Jun 24, 2024 Accepting new patients
Boulder Community Health Current Accepting new patients
Signify Health Medical Associates of California, PC CurrentSince Jun 24, 2024 Accepting new patients
Boulder Community Health CurrentSince Oct 1, 2024 Accepting new patients
Eye Associates of Sebastopol Medical Group Inc CurrentSince Nov 1, 2021 Accepting new patients
Prima Medical Foundation CurrentSince Oct 13, 2018 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Aug 1, 2023 Accepting new patients
Eye Associates of Sebastopol Medical Group CurrentSince Nov 1, 2021 Accepting new patients
Carbon Health Medical Group of Florida PA CurrentSince Aug 1, 2023 Accepting new patients
Infusion for Health, P.C. CurrentSince Dec 1, 2023 Accepting new patients
Boulder Community Health CurrentSince Oct 1, 2024 Accepting new patients
Carbon Health Primary Care of California PC PastSince Jul 20, 2025 Accepting new patients

Locations

2920 Telegraph Ave
Ste 100
Berkeley, CA 94705
Phone (415) 549-0212

135 S State College Blvd
Ste 350
Brea, CA 92821

14709 Lakeshore Dr
Clearlake, CA 95422
Phone (707) 994-8644

1260 S Eliseo Dr
Fl 2
Greenbrae, CA 94904
Phone (415) 464-1350

818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

3333 California St
#S110
San Francisco, CA 94118
Phone (415) 514-2664

505 Montgomery St
Fl 10
San Francisco, CA 94111
Phone (503) 427-8095

4000 Civic Center Dr
Ste 200
San Rafael, CA 94903
Phone (415) 444-0300

411 3rd St
San Rafael, CA 94901
Phone (415) 854-7159

6880 Palm Ave
Sebastopol, CA 95472
Phone (707) 769-1074

1755 48th St
Ste 200
Boulder, CO 80301
Phone (303) 415-7450

7700 E Arapahoe Rd
Ste 220
Centennial, CO 80112
Phone (303) 285-1148

101 Erie Pkwy
Ste 101
Erie, CO 80516
Phone (303) 415-5810

3555 Stanford Rd
Ste 115
Fort Collins, CO 80525

2860 E Harmony Rd
Ste 110
Fort Collins, CO 80528
Phone (970) 235-8153

9116 W Bowles Ave
Ste 3A
Littleton, CO 80123
Phone (303) 904-2600

1615 Foxtrail Dr
Bldg A
Loveland, CO 80538

9351 Grant St
Ste 110
Thornton, CO 80229
Phone (303) 407-1990

10435 Reed St
Ste 100
Westminster, CO 80021
Phone (303) 276-0297

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 34

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 34

NPI Registry JSON

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446422400000",
    "number": "1124499413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 HOSPITAL DR",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824545",
            "telephone_number": "707-463-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 HOSPITAL DR",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824568",
            "telephone_number": "707-463-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATNIK",
        "first_name": "LORI",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2015-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "950002566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ukiah, CA

Sources for this page

Verify at the official NPI Registry.