Anita Catherine McNulty, FNP CNM

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

20593 Issued in CA

Practice address

8340 Blackney Rd
Sebastopol, CA 95472-4607

Phone

(707) 824-9533

NPI assigned

Apr 8, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Anita Catherine McWatters Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Midwife

State licenses

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

{
    "created_epoch": "1302220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302220800000",
    "number": "1578853701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8340 BLACKNEY RD",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724607",
            "telephone_number": "707-824-9533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 BLACKNEY RD",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954724607",
            "telephone_number": "707-824-9533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCNULTY",
        "first_name": "ANITA",
        "middle_name": "CATHERINE",
        "name_prefix": "Ms.",
        "credential": "FNP CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-04-08",
        "last_updated": "2011-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "20593",
            "primary": true
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "CA",
            "license": "NMW853",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANITA",
            "last_name": "MCWATTERS",
            "middle_name": "CATHERINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ian McCullough, L.AC.
• Susan McDaniel, CMT
• Doris McDonnell
• Casandra McGee, MFT, MS
• Todd McKillop
• Lisa Melo
• Colette Eve Mercier, LM, LMFT
• Lydia Hasbrouck Mertens, MD
• Steve C Mertens, MD
• Tara Metcalf, LMFT

• Family Nurse Practitioner in Sebastopol, CA
• Providers in Sebastopol, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2011; 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.