Katerine Papadopoulos, NP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

20425 Issued in CA

Practice address

1221 N Dutton Ave
Santa Rosa, CA 95401-4607

Phone

(707) 543-8360

NPI assigned

Jun 28, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: kpapadopoulos152256@hisp.ehr.sutterhealth.org

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321228800000",
    "number": "1639465636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 LIVE OAK DR",
            "city": "PETALUMA",
            "state": "CA",
            "postal_code": "949521016",
            "telephone_number": "707-291-3293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 N DUTTON AVE",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014607",
            "telephone_number": "707-543-8360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAPADOPOULOS",
        "first_name": "KATERINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-28",
        "last_updated": "2011-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "20425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Rice Pandolfo, PSY.D.
• Punita Somnath Pandya, M.D.
• Norman Panting, M.D.
• Daniela Pantoja
• Alicia Susan Panza, MA
• Guadalupe Papalotzin, DDS
• Brett Papazian
• Caitlen Pappas
• Joseph Pappas
• Kirk L. Pappas, MD

• Adult Health Nurse Practitioner in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.