Individual provider Active NPI

Marie Louise Kittle

  • Community Health Worker
  • Grass Valley, CA
National Provider Identifier
1770292203
Registry record updated Nov 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
Practice address
345 Crown Point Cir Ste 300
Grass Valley, CA 95945-9530
Phone
(520) 205-6994
NPI assigned
Nov 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X Primary

Addresses

Primary practice location

345 Crown Point Cir Ste 300
Grass Valley, CA 95945-9530

Mailing address

345 Crown Point Cir Ste 300
Grass Valley, CA 95945-9530
Phone (520) 205-6994

Other practice location 1

345 Crown Point Cir Ste 300
Grass Valley, CA 95945-9530
Phone (520) 205-6994

Other names 1

  • Marie Louise Hoiem Former name

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1669161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669161600000",
    "number": "1770292203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 CROWN POINT CIR STE 300",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959459530",
            "telephone_number": "520-205-6994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 CROWN POINT CIR STE 300",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959459530",
            "telephone_number": "520-205-6994"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 Crown Point Cir Ste 300",
            "address_purpose": "LOCATION",
            "city": "Grass Valley",
            "state": "CA",
            "postal_code": "959459530",
            "country_code": "US",
            "telephone_number": "520-205-6994",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KITTLE",
        "first_name": "MARIE",
        "middle_name": "LOUISE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-23",
        "last_updated": "2022-11-23",
        "certification_date": "2022-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIE",
            "last_name": "HOIEM",
            "middle_name": "LOUISE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2022; 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.