Individual provider Active NPI

Corinna Neustaetter, FNP

  • Family Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1518064633
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
411731 Issued in CA
Practice address
1050 Wisconsin St
San Francisco, CA 94107-3328
Phone
(415) 648-3022
NPI assigned
Sep 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 411731 CA Primary

Addresses

Primary practice location

1050 Wisconsin St
San Francisco, CA 94107-3328

Mailing address

137 Stetson Ave
Corte Madera, CA 94925-1530
Phone (415) 924-6618

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20111128000541 CA Practitioner - Nurse Practitioner 3678747854 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7798CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
City and County of San Francisco CurrentSince Mar 4, 2017 Accepting new patients
City & County of San Francisco CurrentSince Mar 4, 2017 Accepting new patients
City & County of San Francisco Current Accepting new patients

Locations

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

1001 Potrero Ave
Bldg 20
San Francisco, CA 94110
Phone (415) 206-8524

1050 Wisconsin St
San Francisco, CA 94107
Phone (415) 648-3022

2401 Keith St
San Francisco, CA 94124
Phone (415) 671-7000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1518064633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 STETSON AVE",
            "city": "CORTE MADERA",
            "state": "CA",
            "postal_code": "949251530",
            "telephone_number": "415-924-6618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 WISCONSIN ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941073328",
            "telephone_number": "415-648-3022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUSTAETTER",
        "first_name": "CORINNA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "411731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.