Katriona Lorraine Reilly-Amtoft

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

513 Park Way
South San Francisco, CA 94080-2644

Phone

(650) 922-7667

NPI assigned

Jun 25, 2020

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593043200000",
    "number": "1922625912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 SAN BRUNO AVE W RM 2",
            "city": "SAN BRUNO",
            "state": "CA",
            "postal_code": "940663435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "513 PARK WAY",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940802644",
            "telephone_number": "650-922-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY-AMTOFT",
        "first_name": "KATRIONA",
        "middle_name": "LORRAINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-25",
        "last_updated": "2020-06-25",
        "certification_date": "2020-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Rausa, M.D.
• Raymond J. Sheridan D.D.S.
• Jennifer Rebollido, RCP
• Shristi Reddy
• Merrily Nicole Reginelli, CD, CPD, LCCE
• Bonnie A. Renderos, MD
• Erin Renner
• James Patrick Reodica, M.S., CCC-SLP
• Ressler Chiropractic Inc.
• David Ressler, D.C.

• Community Health Worker in South San Francisco, CA
• Providers in South San Francisco, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2020; 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.