Kathleen Vogelsang, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

362570 Issued in CA

Practice address

1733 Central Ave
McKinleyville, CA 95519-3601

Phone

(707) 839-4852

Fax

(707) 839-2439

NPI assigned

Jul 10, 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

Other identifiers 1

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

State licenses

Practice roles

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.

• Humboldt Family Medical Care

  • Rural Health Clinic/Center
  • McKinleyville, CA
  • NPI 1447287347
  NPD (past)

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

{
    "created_epoch": "1184025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184025600000",
    "number": "1851599062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1733 CENTRAL AVE",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955193601",
            "telephone_number": "707-839-4852",
            "fax_number": "707-839-2439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1733 CENTRAL AVE",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955193601",
            "telephone_number": "707-839-4852",
            "fax_number": "707-839-2439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOGELSANG",
        "first_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-10",
        "last_updated": "2007-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "362570",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A389980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Two Feathers Native American Family Services
• U.S. Coast Guard Group/Air Station Humboldt Bay Clinic
• Uscg Humboldt Bay Pharmacy
• Bert Vanduzer, PTA
• Julie Villegas, LVN
• Tara Arness Vu, M.D.
• Cassaundra Maxine Wages
• Brooke Noelle Wahlund, MA
• Michaela Walston
• Debra S Webb, RN

• Family Nurse Practitioner in McKinleyville, CA
• Providers in McKinleyville, 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 10, 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.