Kathryn Anne Koltun

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

79465 Issued in CA

Practice address

216 E Pedregosa St
Santa Barbara, CA 93101-1051

Phone

(303) 570-4732

NPI assigned

Jul 13, 2018

Last updated

Jul 13, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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": "1531440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531440000000",
    "number": "1386120269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 E PEDREGOSA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931011051",
            "telephone_number": "303-570-4732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 E PEDREGOSA ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931011051",
            "telephone_number": "303-570-4732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLTUN",
        "first_name": "KATHRYN",
        "middle_name": "ANNE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-13",
        "last_updated": "2018-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "79465",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD CALIFORNIA",
            "identifier": "XED906087715",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Kokotovic, PH.D.
• Robert Anthony Kolarczyk, M.D.
• David W Kolegraff, M.D.
• Ernest Kolendrianos, M.D.
• Julie Lynn Kollar, MD
• Alice Konieczny
• Brennan Kono, DPT
• William C Koonce, MD
• Woodwyn Woodwyn Koons, PSY.D.
• Thadeus B Koontz, MD

• Clinical Social Worker in Santa Barbara, CA
• Providers in Santa Barbara, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2018; 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.