Active NPI
Kristen Helen Lateiner, NP
- Family Nurse Practitioner
- Walnut Creek, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 17825
- Practice address
- 1479 Ygnacio Valley Rd # 150
Walnut Creek, CA 94598 - Phone
- (925) 941-4058
- NPI assigned
- Jun 10, 2009
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 17825 | CA | |
| Family Nurse Practitioner | 363LF0000X | 17825 | CA | Primary |
Addresses
Primary practice location
1479 Ygnacio Valley Rd # 150
Walnut Creek, CA 94598
Mailing address
1450 Treat Blvd # 300
Walnut Creek, CA 94597-2168
Phone (925) 952-2888
Other practice location 1
505 Parnassus Ave
Mail Box 0961
San Francisco, CA 94143-2204
Phone (415) 353-4112
Other practice location 2
505 Parnassus Ave
Mail Box 0961
San Francisco, CA 94143-2204
Phone (415) 353-4112
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1479 Ygnacio Valley Rd
Suite 150
Walnut Creek, CA 94598-2986
Phone (925) 941-4058
Hospital & facility affiliations
- John Muir Medical Center - Walnut Creek Campus
- John Muir Medical Center - Concord Campus
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.32 of 100
- Quality
- 89.54
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.34
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| John Muir Physician Network | Current | Accepting new patients |
Locations
2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112
380 Civic Dr
Ste 100
Pleasant Hill, CA 94523
Phone (925) 284-3840
1450 Treat Blvd
#300
Walnut Creek, CA 94597
Phone (925) 952-2828
1450 Treat Blvd
Ste 300
Walnut Creek, CA 94597
1479 Ygnacio Valley Rd
Ste 150
Walnut Creek, CA 94598
Phone (925) 296-7340
Interoperability endpoints
- klateiner45309@ehr.johnmuirhealth.com
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.
-
- General Practice Physician
- Walnut Creek, CA
- NPI 1841407665
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Walnut Creek, CA
- NPI 1740215219
-
- General Acute Care Hospital
- Concord, CA
- NPI 1801821376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1244592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562025600000",
"number": "1972739498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 TREAT BLVD # 300",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945972168",
"telephone_number": "925-952-2888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1479 YGNACIO VALLEY RD # 150",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "94598",
"telephone_number": "925-941-4058"
}
],
"practiceLocations": [
{
"address_1": "505 Parnassus Ave",
"address_2": "Mail Box 0961",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941432204",
"country_code": "US",
"telephone_number": "415-353-4112",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "505 Parnassus Ave",
"address_2": "Mail Box 0961",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941432204",
"country_code": "US",
"telephone_number": "415-353-4112",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LATEINER",
"first_name": "KRISTEN",
"middle_name": "HELEN",
"name_prefix": "Mrs.",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-06-10",
"last_updated": "2019-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "CA",
"license": "17825",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "17825",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.