Katherine Wyatt, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95004936 Issued in CA

Practice address

3772 Tibbetts St
Riverside, CA 92506-2605

Phone

(951) 222-1523

NPI assigned

Jul 18, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Senior'S Choice Medical Group, Inc.

  • Family Medicine Physician
  • Fontana, CA
  • NPI 1023506672
  NPD
• Planned Parenthood of the Pacific Southwest

  • Community Health Clinic/Center
  • San Diego, CA
  • NPI 1427081652
  NPD (past)
• Reuben C Castillo, Professional Corporation

  • General Practice Physician
  • Perris, CA
  • NPI 1942429188
  NPD (past)

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1831542620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3772 TIBBETTS ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062605",
            "telephone_number": "951-222-1523",
            "fax_number": "951-682-7904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3772 TIBBETTS ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062605",
            "telephone_number": "951-222-1523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1059 N Mount Vernon Ave",
            "address_purpose": "LOCATION",
            "city": "Colton",
            "state": "CA",
            "postal_code": "923242500",
            "country_code": "US",
            "telephone_number": "909-423-0512",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WYATT",
        "first_name": "KATHERINE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-18",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "790215",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95004936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geena Wu, M.D.
• Jerry Jiway Wu, PT, DPT
• Kevin Wu, DPT
• Leslie Wu
• Christopher Don Wyatt, LCSW
• Wylie Center - a Psychological Corporation
• Mary Lukens Wyman, LCSW
• Theodore Eugene Wyman, M.D.
• Lucas Ryan Wymore, MD
• Joanne T. Wyszomirski-Witkowski, MD

• Family Nurse Practitioner in Riverside, CA
• Providers in Riverside, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2021; 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.