Individual provider Active NPI

Katrinia Rose Lemons, FNP

  • Family Nurse Practitioner
  • Placerville, CA
National Provider Identifier
1487009171
Registry record updated Dec 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95004596 Issued in CA
Practice address
1100 Marshall Way
Placerville, CA 95667-6533
Phone
(530) 626-2717
NPI assigned
Apr 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2016

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 95004596 CA Primary

Addresses

Primary practice location

1100 Marshall Way
Placerville, CA 95667-6533

Mailing address

1100 Marshall Way
Placerville, CA 95667-6533
Phone (530) 626-2717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160926000531 CA Practitioner - Nurse Practitioner 7911294582 Reassigns benefits to 5 organizations
I20260505001105 TX Practitioner - Nurse Practitioner 7911294582 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Suite 939
Angels Camp, CA 95222

Hospital & facility affiliations

  • Mark Twain Medical Center Hospital, San Andreas, CA, CCN 051332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95004596CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Current Accepting new patients
All Inclusive Medical Services, Inc CurrentSince May 9, 2025 Accepting new patients
Regents of the Univ of Ca CurrentSince Jun 19, 2019 Accepting new patients
Regents of the University of Ca CurrentSince Jun 19, 2019 Accepting new patients
All Inclusive Medical Services Urgent Care, Inc. CurrentSince May 9, 2025 Accepting new patients
Cep America - California Current Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients

Locations

5900 Coyle Ave
Ste A
Carmichael, CA 95608
Phone (916) 330-4447

5900 Coyle Ave
Ste B
Carmichael, CA 95608
Phone (916) 349-7600

7811 Laguna Blvd
Ste 161
Elk Grove, CA 95758
Phone (916) 877-7778

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1100 Marshall Way
Placerville, CA 95667
Phone (530) 626-2601

1 Medical Plaza Dr
Roseville, CA 95661
Phone (916) 781-1000

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

2315 Stockton Blvd
#5
Sacramento, CA 95817
Phone (916) 703-3050

2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1461888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481846400000",
    "number": "1487009171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 MARSHALL WAY",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956676533",
            "telephone_number": "530-626-2717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 MARSHALL WAY",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956676533",
            "telephone_number": "530-626-2717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEMONS",
        "first_name": "KATRINIA",
        "middle_name": "ROSE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-29",
        "last_updated": "2016-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95004596",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placerville, CA

Sources for this page

Verify at the official NPI Registry.