Individual provider Active NPI

Katherine Redmond-Larimer, FNP

  • Family Nurse Practitioner
  • Lodi, CA
National Provider Identifier
1831468255
Registry record updated Feb 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
20774 Issued in CA
Practice address
975 S. Fairmont Avenue
Lodi, CA 95240
Phone
(209) 333-5124
NPI assigned
Dec 14, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2013

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 20774 CA Primary

Addresses

Primary practice location

975 S. Fairmont Avenue
Lodi, CA 95240

Mailing address

975 S. Fairmont Avenue
Lodi, CA 95240
Phone (209) 333-5124

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20130110000606 CA Practitioner - Nurse Practitioner 0042463580 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lodi Memorial Hospital Association, Inc Current Accepting new patients
Lodi Memorial Hospital Association Inc Current Accepting new patients
Lodi Memorial Hospital Association, Inc. CurrentSince Dec 1, 2012 Accepting new patients
Lodi Memorial Hospital Association Inc CurrentSince Dec 1, 2012 Accepting new patients

Locations

2415 W Vine St
Ste 105
Lodi, CA 95242
Phone (209) 333-3121

801 S Ham Ln
Ste S
Lodi, CA 95242
Phone (209) 333-8066

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

Organizations & group practices 4

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": "1323820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1831468255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 S. FAIRMONT AVENUE",
            "city": "LODI",
            "state": "CA",
            "postal_code": "95240",
            "telephone_number": "209-333-5124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 S. FAIRMONT AVENUE",
            "city": "LODI",
            "state": "CA",
            "postal_code": "95240",
            "telephone_number": "209-333-5124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDMOND-LARIMER",
        "first_name": "KATHERINE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-14",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "20774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lodi, CA

Sources for this page

Verify at the official NPI Registry.