Individual provider Active NPI

Katelyn Giannandrea, FNP

  • Family Nurse Practitioner
  • Hanford, CA
National Provider Identifier
1538524749
Registry record updated Dec 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95003471 Issued in CA
Practice address
460 Greenfield Ave Ste 3
Hanford, CA 93230-3500
Phone
(559) 584-5770
Fax
(888) 774-0477
NPI assigned
Dec 15, 2015
Last updated
Dec 14, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2018

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 NP95003471 CA Primary

Addresses

Primary practice location

460 Greenfield Ave Ste 3
Hanford, CA 93230-3500

Mailing address

221 E Caldwell Ave
Visalia, CA 93277-7605

Other practice location 1

221 E Caldwell Ave
Visalia, CA 93277-7605
Phone (559) 732-4726

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
I20160407001184 CA Practitioner - Nurse Practitioner 1951604875 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95003471CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Dermatology Alliance Ca CurrentSince Sep 1, 2020 Accepting new patients
Michael K Lloyd MD Inc CurrentSince Dec 7, 2018 Accepting new patients

Locations

13921 W Grand Ave
Bldg E
Surprise, AZ 85374
Phone (623) 212-1121

460 Greenfield Ave
Ste 3
Hanford, CA 93230
Phone (559) 584-5770

115 N Akers St
Visalia, CA 93291
Phone (559) 636-0808

5530 Avenida de los Robles
Visalia, CA 93291
Phone (559) 733-5050

Organizations & group practices 2

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": "1450137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544745600000",
    "number": "1538524749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 E CALDWELL AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932777605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "460 GREENFIELD AVE STE 3",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303500",
            "telephone_number": "559-584-5770",
            "fax_number": "888-774-0477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "221 E Caldwell Ave",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932777605",
            "country_code": "US",
            "telephone_number": "559-732-4726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIANNANDREA",
        "first_name": "KATELYN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-12-15",
        "last_updated": "2018-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95003471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

Verify at the official NPI Registry.