Kathryn E Von Zumwalt Tisch

Primary specialty

Attendant Care ProviderTaxonomy code 3747A0650X

Practice address

15741 Villa Sierra Rd
Valley Center, CA 92082-7655

Phone

(760) 638-0770

NPI assigned

Oct 21, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1603238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1144829029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15741 VILLA SIERRA RD",
            "city": "VALLEY CENTER",
            "state": "CA",
            "postal_code": "920827655",
            "telephone_number": "760-638-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15741 VILLA SIERRA RD",
            "city": "VALLEY CENTER",
            "state": "CA",
            "postal_code": "920827655",
            "telephone_number": "760-638-0770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VON ZUMWALT TISCH",
        "first_name": "KATHRYN",
        "middle_name": "E",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-21",
        "last_updated": "2020-10-21",
        "certification_date": "2020-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "M0589436",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valley Center-Pauma Unified School District
• Kristine M Ver Weire-Haisan, RDH, BSDH, MPH (C)
• Robert Glenn Vertrees, CHIROPRACTOR
• Victoria a Kuhl, PH.D., a Medical Corporation
• Vista Hill Foundation
• Fredric William Weissich, DDS
• Robert Oldham Young, PHD
• Richard Zecha, OTR/L

• Attendant Care Provider in Valley Center, CA
• Providers in Valley Center, CA by specialty
• Attendant Care Provider in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2020; 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.