Katherine Alexandra Redwine, PH.D.

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY21705 Issued in CA

Practice address

3443 W Shaw Ave
Fresno, CA 93711-3204

Phone

(559) 271-1186

Fax

(559) 271-8041

NPI assigned

Dec 27, 2006

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

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191369600000",
    "number": "1396800405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3443 W SHAW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113204",
            "telephone_number": "559-271-1186",
            "fax_number": "559-271-8041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3443 W SHAW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113204",
            "telephone_number": "559-271-1186",
            "fax_number": "559-271-8041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDWINE",
        "first_name": "KATHERINE",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-27",
        "last_updated": "2007-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "CA",
            "license": "PSY21705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Usha Reddy, M.D.
• Chad Sherwood Reder, MD
• Shawn Tyler Redfield Jr.
• Kelly Brian Rediske
• Heather Allyn Redmond-Archer, RN
• Tyra Paige Reece-Smith
• Haley Briana Reed Jackson
• Wendy Dawn Reed Perez, P.A.
• Arkami Reed
• Brittany Alexis Reed, CCP

• Psychologist in Fresno, CA
• Providers in Fresno, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2007; 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.