Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1679322994 Individual Practitioner Female Practitioner

Katrina Wynn Smith , FNP

Nurse Practitioner • Lathrop, CA

Professional Overview & Biography Verified Profile Summary

Katrina Smith, FNP is a registered healthcare professional specializing in Nurse Practitioner in Lathrop, CA. Practice services are available at 17806 TIDE LINE DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

17806 Tide Line Dr

Lathrop, CA 953308273

Telephone 8287132352

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Lathrop, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
3 Specialists

Practicing in Lathrop, CA (8378 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-05-17
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CA 95029203

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 17, 2024

NPI status registered as active in NPPES database

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Updated Practice Location May 17, 2024

Registered at 17806 TIDE LINE DR, LATHROP, CA 953308273 (Tel: 8287132352)

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Updated Business Mailing Address May 17, 2024

Registered at 17806 TIDE LINE DR, LATHROP, CA 953308273 (Tel: 8287132352)

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Provider Name / Credentials Updated May 17, 2024

Recorded as KATRINA SMITH, FNP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2024

Nurse Practitioner (License #95029203 in CA)

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Initial NPI Registration & Enumeration May 17, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1679322994
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 17, 2024
Last Update: May 17, 2024
Sole Proprietor: Yes

Mailing Address

17806 Tide Line Dr

Lathrop, CA 953308273

Phone: 8287132352

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.