Loretta Ancellotti, FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

15237 Issued in CA

Practice address

487 S Main St
Suite 122
Lakeport, CA 95453-5315

Phone

(707) 263-4360

Fax

(707) 463-4036

NPI assigned

Jan 19, 2008

Last updated

Nov 16, 2011By the provider in NPPES

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/15156/brand/1/csg/1/fhir/r4
• Direct secure messaging: loretta.ancellotti.1@15156.direct.athenahealth.com

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.

• Consolidated Tribal Health Project, Inc.

  • Health Service Clinic/Center
  • Redwood Valley, CA
  • NPI 1003826009
  Medicare reassignment NPD
• Rocky Mountain Kidney Care PC

  • Nephrology Physician
  • San Mateo, CA
  • NPI 1316761943
  NPD (past)

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

{
    "created_epoch": "1200700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1386820322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 HOSPITAL DR",
            "address_2": "SUITE 207",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954824533",
            "telephone_number": "707-463-8000",
            "fax_number": "707-462-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "487 S MAIN ST",
            "address_2": "SUITE 122",
            "city": "LAKEPORT",
            "state": "CA",
            "postal_code": "954535315",
            "telephone_number": "707-263-4360",
            "fax_number": "707-463-4036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANCELLOTTI",
        "first_name": "LORETTA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-19",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "15237",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Alcala
• Daniel Alekyan, DO
• Alexander R. McGeoch, DDS, Apc
• Mohamad Moutaz Almawaldi, MD
• Alpha Respiratory Inc. (Lincare Inc)
• Katherine C Andre, PH.D.
• Irinna Andrianarijaona, FNP
• Kraivit Angsupanich, M.D.
• Tizah Evelyn Anjeh, RPH
• Anytime Rides

• Primary Care Nurse Practitioner in Lakeport, CA
• Providers in Lakeport, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.