Katrina Viduya

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

697797 Issued in CA

Practice address

5659 Raters Dr
Santa Rosa, CA 95409-4382

Phone

(805) 453-2590

NPI assigned

Jan 23, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1737590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1245042548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5659 RATERS DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954094382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5659 RATERS DR",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954094382",
            "telephone_number": "805-453-2590"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIDUYA",
        "first_name": "KATRINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-23",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "697797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victor Treatment Centers, Inc.
• Victor Treatment Centers, Inc.
• Victor Treatment Centers, Inc.
• Joelle Ryan Victoriano, DO
• David Vidaurri, MD
• Janeen Vieira-Taylor, MTF
• Amanda Man Vien
• Kirsty Hale Viera, PSY.D.
• Eric Keoni Vierra, O.D.
• Monica Vigil, D.C.

• Family Nurse Practitioner in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; 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.