Individual provider Active NPI

Katherine Anne Acker, FNP

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1235971144
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95030190 Issued in CA
Practice address
5755 Oberlin Dr
San Diego, CA 92121-1786
Phone
(760) 828-2196
NPI assigned
Jun 11, 2024
Last updated
Jun 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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 95030190 CA Primary

Addresses

Primary practice location

5755 Oberlin Dr
San Diego, CA 92121-1786

Mailing address

2323 Carroll LN
Escondido, CA 92027-4910
Phone (619) 626-4869

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240830002509 CA Practitioner - Nurse Practitioner 9436698651 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95030190CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
H Squared Health CurrentSince Jul 15, 2024 Accepting new patients
Huy T Ho MD, Inc Past Accepting new patients
Christina Lam NP a Professional Nursing Corporation PastSince Oct 1, 2024 Accepting new patients

Locations

8090 Parkway Dr
La Mesa, CA 91942
Phone (619) 697-0018

8090 Parkway Dr
Ste 100
La Mesa, CA 91942
Phone (760) 828-2196

3709 Convoy St
Ste 301
San Diego, CA 92111
Phone (760) 828-2196

5755 Oberlin Dr
Ste 100
San Diego, CA 92121
Phone (561) 371-1210

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1235971144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 CARROLL LN",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920274910",
            "telephone_number": "619-626-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 OBERLIN DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211786",
            "telephone_number": "760-828-2196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACKER",
        "first_name": "KATHERINE",
        "middle_name": "ANNE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95030190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.