Individual provider Active NPI

Katherine L Sieu, RN, NP

  • Adult Health Nurse Practitioner
  • Walnut Creek, CA
National Provider Identifier
1356591085
Registry record updated Aug 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
18369 Issued in CA
Practice address
500 Lennon LN
Walnut Creek, CA 94598-2415
Phone
(925) 939-9610
Fax
(925) 939-9630
NPI assigned
Sep 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 18369 CA Primary

Addresses

Primary practice location

500 Lennon LN
Walnut Creek, CA 94598-2415

Mailing address

500 Lennon LN
Walnut Creek, CA 94598-2415
Phone (925) 939-9610

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
I20101118000189 CA Practitioner - Nurse Practitioner 6608062534 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michael P Sherman MD PHD, a Medical Corporation CurrentSince Aug 1, 2010 Accepting new patients

Locations

1320 El Capitan Dr
Ste 330
Danville, CA 94526
Phone (925) 939-9610

500 Lennon Ln
Walnut Creek, CA 94598
Phone (925) 939-9610

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282867200000",
    "number": "1356591085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LENNON LN",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982415",
            "telephone_number": "925-939-9610",
            "fax_number": "925-939-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LENNON LN",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982415",
            "telephone_number": "925-939-9610",
            "fax_number": "925-939-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIEU",
        "first_name": "KATHERINE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "RN, NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-30",
        "last_updated": "2010-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "18369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.