Katrien T Wohlstattar, NP

Primary specialty

Neonatal Nurse PractitionerTaxonomy code 363LN0000X

License

428932 Issued in CA

Practice address

2505 Samaritan Dr
San Jose, CA 95124-4006

Phone

(408) 559-2262

NPI assigned

Jul 7, 2005

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

Other names 1

• Katie Wohlstattar Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304035200000",
    "number": "1346248010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S NAVARRA DR",
            "city": "SCOTTS VALLEY",
            "state": "CA",
            "postal_code": "950663618",
            "telephone_number": "831-818-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2505 SAMARITAN DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951244006",
            "telephone_number": "408-559-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOHLSTATTAR",
        "first_name": "KATRIEN",
        "middle_name": "T",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2011-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LN0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Neonatal",
            "state": "CA",
            "license": "428932",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATIE",
            "last_name": "WOHLSTATTAR",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Deborah Anne Wittwer Kopp, PHD
• WK Medical Group
• WL Health Center
• Genet Reda Wodajo
• Lisa Woffington
• Jennifer Nichole Wohlwend, NUTRITIONIST MS
• Valerie J Woitte, DOULA
• Tomasz Wojczyk, CRNA
• Christina Rebecca Wold, M.S., C.G.C.
• Omega Wolde

• All providers in San Jose, CA
• Neonatal Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.