Active NPI
Kathryn Haywood
- Pharmacist
- Novato, CA
National Provider Identifier
1598317158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 80391
- Practice address
- 200 Vintage Way
Novato, CA 94945-5005 - Phone
- (415) 892-3313
- NPI assigned
- Jul 14, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 80391 | CA | Primary |
Addresses
Primary practice location
200 Vintage Way
Novato, CA 94945-5005
Mailing address
330 Summit PL Apt 1
Richmond, CA 94801-3892
Other practice location 1
401 Kenilworth Dr
Petaluma, CA 94952-3413
Phone (707) 775-6322
Other practice location 2
950 Coddingtown Ctr
Santa Rosa, CA 95401-3512
Phone (707) 596-5587
Other practice location 3
475 Rohnert Park Expy W
Rohnert Park, CA 94928-7907
Phone (707) 586-2901
Other practice location 4
180 Donahue St
Sausalito, CA 94965-1250
Phone (415) 944-5540
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
| License | State | Type | Specialty |
|---|---|---|---|
| 80391 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563062400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563062400000",
"number": "1598317158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 SUMMIT PL APT 1",
"city": "RICHMOND",
"state": "CA",
"postal_code": "948013892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 VINTAGE WAY",
"city": "NOVATO",
"state": "CA",
"postal_code": "949455005",
"telephone_number": "415-892-3313"
}
],
"practiceLocations": [
{
"address_1": "401 Kenilworth Dr",
"address_purpose": "LOCATION",
"city": "Petaluma",
"state": "CA",
"postal_code": "949523413",
"country_code": "US",
"telephone_number": "707-775-6322",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "950 Coddingtown Ctr",
"address_purpose": "LOCATION",
"city": "Santa Rosa",
"state": "CA",
"postal_code": "954013512",
"country_code": "US",
"telephone_number": "707-596-5587",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "475 Rohnert Park Expy W",
"address_purpose": "LOCATION",
"city": "Rohnert Park",
"state": "CA",
"postal_code": "949287907",
"country_code": "US",
"telephone_number": "707-586-2901",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "180 Donahue St",
"address_purpose": "LOCATION",
"city": "Sausalito",
"state": "CA",
"postal_code": "949651250",
"country_code": "US",
"telephone_number": "415-944-5540",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAYWOOD",
"first_name": "KATHRYN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-14",
"last_updated": "2019-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "80391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Novato, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.