Individual provider Active NPI

Katherine Izzo-Andujar, FNP

  • Family Nurse Practitioner
  • Encinitas, CA
National Provider Identifier
1467271015
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95030202 Issued in CA
Practice address
463 Encinitas Blvd
Encinitas, CA 92024-3728
Phone
(760) 230-6499
NPI assigned
Oct 9, 2024
Last updated
Oct 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95030202 CA Primary

Addresses

Primary practice location

463 Encinitas Blvd
Encinitas, CA 92024-3728

Mailing address

463 Encinitas Blvd
Encinitas, CA 92024-3728
Phone (760) 230-6499

Other practice location 1

2333 1st Ave Ste 106
San Diego, CA 92101-1538
Phone (858) 247-2688

Other practice location 2

6990 El Camino Real Ste M
Carlsbad, CA 92009-4112
Phone (760) 448-5979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
95030202CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1467271015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "463 ENCINITAS BLVD",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243728",
            "telephone_number": "760-230-6499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "463 ENCINITAS BLVD",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920243728",
            "telephone_number": "760-230-6499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2333 1st Ave Ste 106",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921011538",
            "country_code": "US",
            "telephone_number": "858-247-2688",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6990 El Camino Real Ste M",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920094112",
            "country_code": "US",
            "telephone_number": "760-448-5979",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IZZO-ANDUJAR",
        "first_name": "KATHERINE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-09",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95030202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.