Active NPI
Kaitlyn Sierra Routzen, CNM, WH-NP
- Advanced Practice Midwife
- Walnut Creek, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 236286
- Practice address
- 112 La Casa Via
Walnut Creek, CA 94598-3091 - Phone
- (925) 939-3000
- NPI assigned
- Aug 19, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 95022189 | CA | |
| Clinical Nurse Specialist | 364S00000X | 4780 | CA | |
| Advanced Practice Midwife | 367A00000X | 236286 | CA | Primary |
Addresses
Primary practice location
112 La Casa Via
Walnut Creek, CA 94598-3091
Mailing address
112 La Casa Via Ste 300
Walnut Creek, CA 94598-3059
Phone (925) 239-0012
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: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4780 | CA | MD | Surgery Physician |
| 95022189 | CA | MD | Women's Health Nurse Practitioner |
| 236286 | CA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Sutter Bay Medical Foundation | Current | Accepting new patients | |
| Bass Medical Group | Past | Accepting new patients | |
| Sutter East Bay Medical Foundation | Past | Accepting new patients | |
| Sutter East Bay Medical Foundation | Past | Accepting new patients | |
| John Muir Health | Past | Accepting new patients | |
| Sutter Bay Hospitals | Past | Accepting new patients |
Locations
18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590
350 John Muir Pkwy
Ste 160
Brentwood, CA 94513
Phone (925) 204-1920
1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100
3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800
1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777
370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200
325 Distel Cir
Los Altos, CA 94022
Phone (510) 204-3977
600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755
101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200
795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832
1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911
151 N Sunrise Ave
Ste 1205
Roseville, CA 95661
Phone (916) 789-1505
3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847
2100 Webster St
Ste 319
San Francisco, CA 94115
Phone (415) 923-3123
1100 Van Ness Ave
Fl 4
San Francisco, CA 94109
Phone (415) 600-0930
123 S San Mateo Dr
San Mateo, CA 94401
Phone (650) 343-4200
3883 Airway Dr
Ste 220
Santa Rosa, CA 95403
Phone (707) 521-7750
10200 Trinity Pkwy
Ste 101
Stockton, CA 95219
Phone (209) 323-3488
550 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 458-5865
Interoperability endpoints
- kroutzen79286@ehr.johnmuirhealth.com
- kroutzen681584@hisp.ehr.sutterhealth.org
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Palo Alto, CA
- NPI 1013950807
-
- Clinical Medical Laboratory
- Santa Clara, CA
- NPI 1669287033
-
- Specialist
- Walnut Creek, CA
- NPI 1154401941
-
- Rehabilitation Hospital Unit
- Walnut Creek, CA
- NPI 1447269303
-
- General Acute Care Hospital
- San Francisco, CA
- NPI 1730238007
-
- Clinical Medical Laboratory
- Berkeley, CA
- NPI 1831381623
-
- Family Medicine Physician
- Orinda, CA
- NPI 1871538769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660867200000",
"number": "1629796263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 LA CASA VIA STE 300",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945983059",
"telephone_number": "925-239-0012"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 LA CASA VIA",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945983091",
"telephone_number": "925-939-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROUTZEN",
"first_name": "KAITLYN",
"middle_name": "SIERRA",
"name_prefix": "Mrs.",
"credential": "CNM, WH-NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-19",
"last_updated": "2022-08-19",
"certification_date": "2022-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CA",
"license": "95022189",
"primary": false
},
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "CA",
"license": "4780",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "CA",
"license": "236286",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.