Individual provider Active NPI

Kathleen Ann Berriatua, FNP, CNS

  • Family Nurse Practitioner
  • Concord, CA
National Provider Identifier
1689649295
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
462366 Issued in CA
Practice address
2299 Bacon St Ste 1
Concord, CA 94520-2045
Phone
(925) 676-3450
NPI assigned
Feb 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 462366 CA Primary

Addresses

Primary practice location

2299 Bacon St Ste 1
Concord, CA 94520-2045

Mailing address

2299 Bacon St Ste 1
Concord, CA 94520-2045
Phone (925) 676-3450

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)
Enrolled
Credentials
Certified Nurse Specialist, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
13466CAMDOptometrist
462366CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1140220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689649295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2299 BACON ST STE 1",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202045",
            "telephone_number": "925-676-3450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 BACON ST STE 1",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945202045",
            "telephone_number": "925-676-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRIATUA",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "credential": "FNP, CNS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "462366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.