Active NPI
Katelyn T. Schuck, PA-C
- Physician Assistant
- Hanford, CA
National Provider Identifier
1437496486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA22776
- Practice address
- 329 W 8TH St
Hanford, CA 93230-4533 - Phone
- (215) 847-3078
- Fax
- (559) 737-4923
- NPI assigned
- Jan 10, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA22776 | CA | Primary |
Addresses
Primary practice location
329 W 8TH St
Hanford, CA 93230-4533
Mailing address
329 W 8TH St
Hanford, CA 93230-4533
Phone (215) 847-3078
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
- Opted out of Medicare
- Yes, effective Oct 1, 2024 through Oct 1, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22776 | CA | MD | General Practice Dentistry |
Interoperability endpoints
- katelyn.schuck.2@23284.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357776000000",
"number": "1437496486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "329 W 8TH ST",
"city": "HANFORD",
"state": "CA",
"postal_code": "932304533",
"telephone_number": "215-847-3078",
"fax_number": "559-737-4923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329 W 8TH ST",
"city": "HANFORD",
"state": "CA",
"postal_code": "932304533",
"telephone_number": "215-847-3078",
"fax_number": "559-737-4923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHUCK",
"first_name": "KATELYN",
"middle_name": "T.",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-10",
"last_updated": "2013-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA22776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hanford, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.