Individual provider Active NPI

Christine Lottman, REGISTERED NURSE

  • Administrator Registered Nurse
  • Newport Beach, CA
National Provider Identifier
1972376853
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
471747 Issued in CA
Practice address
4029 Westerly PL Ste 110
Newport Beach, CA 92660-2329
Phone
(949) 569-9100
NPI assigned
Nov 2, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 471747 CA Primary

Addresses

Primary practice location

4029 Westerly PL Ste 110
Newport Beach, CA 92660-2329

Mailing address

4029 Westerly PL Ste 110
Newport Beach, CA 92660-2329
Phone (949) 569-9100

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

LicenseStateTypeSpecialty
471747CAMDAdministrator Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Concierge Senior Care Management Services CurrentSince Nov 5, 2023 Accepting new patients

Locations

4029 Westerly Pl
Ste 110
Newport Beach, CA 92660
Phone (949) 251-1109

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1972376853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4029 WESTERLY PL STE 110",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602329",
            "telephone_number": "949-569-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4029 WESTERLY PL STE 110",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602329",
            "telephone_number": "949-569-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOTTMAN",
        "first_name": "CHRISTINE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "CA",
            "license": "471747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.