Anna Lynne Wittekind, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA12048 Issued in CA

Practice address

11583 C Ave
Auburn, CA 95603-2703

Phone

(530) 889-7185

Fax

(530) 889-7280

NPI assigned

Jan 31, 2007

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AHHIAD

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.

• Chapa-de Indian Health Program, Inc.

  • Federally Qualified Health Center (FQHC)
  • Auburn, CA
  • NPI 1114057163
  Medicare reassignment NPD

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811034556",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11583 C AVE",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956032703",
            "telephone_number": "530-889-7185",
            "fax_number": "530-889-7280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11583 C AVE",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956032703",
            "telephone_number": "530-889-7185",
            "fax_number": "530-889-7280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTEKIND",
        "first_name": "ANNA",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA12048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Alice Winters
• Kaylee Melissa Winters, RN
• Rachel Amber Winters, ACSW
• Jennifer Wise-Petrenko, LMFT, LPCC
• Jeffrey Keith Wise, DDS
• Caylin Rose Woo
• Neil Lipscomb Wood Jr., MD
• Ronald Charles Woodsford Jr., CADC - I
• Bill Wright, L.AC.
• Jennifer L Wright, M.A., CCC-SLP

• Physician Assistant in Auburn, CA
• Providers in Auburn, CA by specialty
• Physician Assistant in California

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.