Individual provider Active NPI

Catherine Anne Fatino, RDHAP

  • Dental Hygienist
  • South Lake Tahoe, CA
National Provider Identifier
1154735157
Registry record updated Sep 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
511 Issued in CA
Practice address
1088 4TH St # 7
South Lake Tahoe, CA 96150-3460
Phone
(541) 640-1644
Fax
(530) 600-2679
NPI assigned
Jun 17, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 24278 CA
Dental Hygienist 124Q00000X 511 CA Primary

Addresses

Primary practice location

1088 4TH St # 7
South Lake Tahoe, CA 96150-3460

Mailing address

PO Box 9484
South Lake Tahoe, CA 96158-2484
Phone (541) 640-1644

Other names 1

  • Catherine Anne Jones Professional name

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

LicenseStateTypeSpecialty
24278CAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695427200000",
    "number": "1154735157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9484",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961582484",
            "telephone_number": "541-640-1644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1088 4TH ST # 7",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "961503460",
            "telephone_number": "541-640-1644",
            "fax_number": "530-600-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FATINO",
        "first_name": "CATHERINE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "RDHAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-17",
        "last_updated": "2023-09-23",
        "certification_date": "2023-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "24278",
            "primary": false
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "CA",
            "license": "511",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CATHERINE",
            "last_name": "JONES",
            "middle_name": "ANNE",
            "credential": "RXH",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in South Lake Tahoe, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2023; 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.