Su Robyn Wyatt, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

429210 Issued in CA

Practice address

4141 State St
Suite A1
Santa Barbara, CA 93110-1814

Phone

(805) 681-7356

NPI assigned

May 3, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Sep 23, 2023 through Sep 23, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• American Indian Health and Services

  • Point of Service
  • Santa Barbara, CA
  • NPI 1053509208
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332892800000",
    "number": "1629290838",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 STATE ST",
            "address_2": "SUITE A1",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101814",
            "telephone_number": "805-681-7144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 STATE ST",
            "address_2": "SUITE A1",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931101814",
            "telephone_number": "805-681-7356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYATT",
        "first_name": "SU",
        "middle_name": "ROBYN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2012-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "429210",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "8568",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Renner Wunderlich
• Alexa Wunsch, OTD, OTR/L
• Connor Wunsch
• Angela Renee Wurtzel, M.A., M.F.T
• Stella Wuttke
• Alyson Wycoff
• Wyllow Physical Therapy Inc
• Zhiyao Xiao
• Anita Lillian Xu, DO
• Camilla Yahyaoui, MACP

• Family Nurse Practitioner in Santa Barbara, CA
• Providers in Santa Barbara, 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 Mar 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.