Individual provider Active NPI

Kathleen Fitterer, N.P.

  • Nurse Practitioner
  • Walnut Creek, CA
National Provider Identifier
1649439126
Registry record updated Aug 27, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
443680 Issued in CA
Practice address
500 Lennon LN
Walnut Creek, CA 94598-2415
Phone
(925) 939-9610
Fax
(925) 939-9630
NPI assigned
Jun 9, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 443680 CA Primary

Addresses

Primary practice location

500 Lennon LN
Walnut Creek, CA 94598-2415

Mailing address

500 Lennon LN
Walnut Creek, CA 94598-2415
Phone (925) 939-9610

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
12606CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
East Bay Integrated Care, Inc CurrentSince Oct 14, 2017 Accepting new patients

Locations

3470 Buskirk Ave
Pleasant Hill, CA 94523
Phone (925) 887-5678

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282867200000",
    "number": "1649439126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 LENNON LN",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982415",
            "telephone_number": "925-939-9610",
            "fax_number": "925-939-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 LENNON LN",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982415",
            "telephone_number": "925-939-9610",
            "fax_number": "925-939-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FITTERER",
        "first_name": "KATHLEEN",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2010-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "443680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.