KATELYNN C FITZPATRICK (NPI# 1467965087) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467965087 |
| Entity Type | Individual |
| Full Name | KATELYNN C FITZPATRICK |
| Other Name | KATELYNN C HICKEY |
| Credential | PA |
| Practice Address |
338 S Dakota Ave Vandenberg Afb CA 93437-6307 |
| Practice Telephone | 8056063076 |
| Mailing Telephone | 8056062273 |
| Enumeration Date | 2017-11-06 |
| Last Update Date | 2020-10-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
1150656 | Physician Assistants & Advanced Practice Nursing Providers | |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
338 S DAKOTA AVE |
| City | VANDENBERG AFB |
| State | CA |
| Zip Code | 93437-6307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598759698 | Jeffrey Martin Swartz | Dentist | 338 S Dakota Ave, Vandenberg Afb, CA 93437-6307 | 2005-09-02 |
| 1477178200 | Danhill Joseph Pangilinan Virgo | Family Medicine | 338 S Dakota Ave, Vandenberg Afb, CA 93437-6307 | 2020-06-08 |
| 1538701198 | Trung Hoang Nguyen | Pharmacist | 338 S Dakota Ave, Vandenberg Afb, CA 93437-6307 | 2019-10-15 |
| 1366980666 | Samantha Macleod | Pediatrics | 338 S Dakota Ave, Vandenberg Afb, CA 93437-6307 | 2017-02-07 |
| 1205281730 | Andrew Gieger | General Practice | 338 S Dakota Ave, Vandenberg Afb, CA 93437-6307 | 2016-05-03 |
| 1699143099 | Vidalia Owens | Social Worker | 338 S Dakota Ave, Vandenberg Afb, CA 93437 | 2015-09-02 |
| 1295120608 | Mark Jeffery Meuer | Pediatrics | 338 S Dakota Ave, Vandenberg Afb, CA 93437 | 2015-04-02 |
| 1619362126 | Devin Charles Caster | Dentist | 338 S Dakota Ave, Vandenberg Afb, CA 93437-6307 | 2015-04-01 |
| 1437565637 | Cynthia Flores | Physician Assistant | 338 S Dakota Ave, Vandenberg Afb, CA 93437-6307 | 2014-07-08 |
| 1932524360 | Felipa Alcoreza Dacanay | Social Worker | 338 S Dakota Ave, Vandenberg Afb, CA 93437 | 2014-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396281739 | Brooke Ashley Herbert | Chiropractor | 403 Ventana Court, Vandenberg Afb, CA 93437 | 2017-01-09 |
| 1053535732 | William Lee White | Family Medicine | 30th Medical Group, 338 South Dakota Ave, Vandenberg Afb, CA 93437 | 2007-04-12 |
| 1578662680 | Santa Barbara County Public Health Dept | Clinic/Center | 1 Mountain View Blvd, Los Padres School, Vandenberg Air Force Base, CA 93437 | 2006-09-22 |
| 1659364271 | Hafez Ali Nasr | Family Medicine | 338 S Dakota Avenue, Vandenberg Afb, CA 93437 | 2005-08-30 |
| 1366970451 | Jonathan Isaac Shue | Dentist | 338 S Dakota Ave Bldg 13850, Vandenberg Afb, CA 93437 | 2017-06-01 |
| 1447600929 | Katie Kovar-strack | Dietitian, Registered | 508 Aspen St, Vandenberg Afb, CA 93437-1322 | 2016-06-15 |
| 1053866996 | Nancy Crawford | Driver | 206 Garden Ct, Lompoc, CA 93437-1441 | 2016-08-21 |
| 1790035046 | Jennifer Ta | Nurse Practitioner | 338 S Dakota Ave Bldg 13850, Lompoc, CA 93437-6307 | 2012-09-13 |
| 1598315392 | Vandenberg Air Force 30th Medical Group | Dietitian, Registered | 338 S Dakota Ave Bldg 13850, Lompoc, CA 93437-6307 | 2019-09-13 |
| 1710476924 | Benjamin Graham Bacon | Dentist | 338 S Dakota Ave Bldg 13850, Vandenberg Afb, CA 93437-6307 | 2018-05-02 |
| Find all providers in zip 93437 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
| 1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
| 1548867666 | Heba Marzouk Al-shoubaki | Physician Assistant | 633 S Pepper St, Anaheim, CA 92802-1459 | 2020-10-01 |
| 1275140550 | Lisa Lynn Passalacqua | Physician Assistant | 431 7th St, Norco, CA 92860-1671 | 2020-09-30 |
| 1144833989 | Trisha Taylor | Physician Assistant | 10399 Tivoli Way, Yucaipa, CA 92399-6017 | 2020-08-30 |
| 1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
| 1275144313 | Sofia Carmen Bustillo | Physician Assistant | 1709 Coral Pl, Seal Beach, CA 90740-5712 | 2020-08-12 |
| 1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
| 1144830183 | Loc Bao Tran | Physician Assistant | 8937 Emerson Pl, Rosemead, CA 91770-2813 | 2020-08-04 |
| 1558997957 | Sarah Lubinsky | Physician Assistant | 1511 Montana Ave, Santa Monica, CA 90403-1891 | 2020-03-17 |
| Find all providers with the same taxonomy | ||||
| City | VANDENBERG AFB |
| Zip Code | 93437 |
Please comment or provide details below to improve the information on KATELYNN C FITZPATRICK.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.