Active NPI
Catherine L. Hayes, FNP
- Family Nurse Practitioner
- Fremont, CA
National Provider Identifier
1952456410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95007264
- Practice address
- 43600 Mission Blvd
Fremont, CA 94539-5847 - Phone
- (510) 659-6258
- NPI assigned
- Jan 24, 2007
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95007264 | CA | Primary |
| Registered Nurse | 163W00000X | 2290483 | MA |
Addresses
Primary practice location
43600 Mission Blvd
Fremont, CA 94539-5847
Mailing address
460 Transom LN
Foster City, CA 94404-4624
Phone (434) 409-0039
Other practice location 1
780 Albany St
Boston, MA 02118-2524
Phone (857) 654-1000
Other names 1
- Catherine Lee Goddeau
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2290483 | MA | MD | Registered Nurse |
| 95007264 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ohlone Community College District | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Local Education Agency (LEA)
- Fremont, CA
- NPI 1922452747
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1952456410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 TRANSOM LN",
"city": "FOSTER CITY",
"state": "CA",
"postal_code": "944044624",
"telephone_number": "434-409-0039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43600 MISSION BLVD",
"city": "FREMONT",
"state": "CA",
"postal_code": "945395847",
"telephone_number": "510-659-6258"
}
],
"practiceLocations": [
{
"address_1": "780 Albany St",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021182524",
"country_code": "US",
"telephone_number": "857-654-1000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HAYES",
"first_name": "CATHERINE",
"middle_name": "L.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-24",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95007264",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MA",
"license": "2290483",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CATHERINE",
"last_name": "GODDEAU",
"middle_name": "LEE",
"credential": "RN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.