Carol Hansen Littlefield, RN
Individual provider Active NPI Registered Nurse · Kelseyville, CA
NPI 1205925658 · NPPES record last updated Mar 6, 2024
Key facts
- NPI
- 1205925658
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 815659 (CA)
- Practice address
- 9977 Bottle Rock Rd
Kelseyville, CA 95451-2831 - Phone
- (801) 209-4404
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 815659 | CA | MD | Registered Nurse |
| 2034248900 | UT | MD | Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 815659 | CA | Yes |
| Specialist | 174400000X | 2034248900 | UT |
Addresses
Primary practice location
9977 Bottle Rock Rd
Kelseyville, CA 95451-2831
Mailing address
9977 Bottle Rock Rd
Kelseyville, CA 95451-2831
Phone (801) 209-4404
Other names
- Mrs. Carol Hansen Littlefield
Other providers in Kelseyville, CA
- Lake County Office of Education
- Lake County Office of Education
- Lake County Office of Education
- Margaret J Landini
- Max Karl Lange
- Marrina Brook Lunas
- Michael Maravich
- Mary Theresa McMillan
- Eunice M Mentges
- Scott Richard Meyer
All providers in Kelseyville, CA · Registered Nurse in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.