KATHERINE KHATSENKO GADDINI AGPCNP-BC
NPI 1407406200
Nurse Practitioner - Adult Health in Oceanside, CA
Active since September 13, 2019
About Katherine Khatsenko Gaddini Agpcnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHERINE KHATSENKO GADDINI AGPCNP-BC (NPI 1407406200) is an individual adult health provider in Oceanside, California, licensed in California (95012401) and active in the NPI registry since September 2019.
NPPES Registry Identity
NPI1407406200
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameKATHERINE KHATSENKO GADDINICredential: AGPCNP-BC
Location Address3142 VISTA WAY STE 401Oceanside, CA 92056-3619
Mailing Address3142 Vista Way Ste 401Oceanside, CA 92056-3619
Phone(760) 681-5222
Sole ProprietorNo
Enumeration DateSeptember 13, 2019
Last NPPES UpdateDecember 16, 20242 updates tracked since enumeration
NPPES CertifiedDecember 16, 2024
✔ NPI 1407406200 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in CA · 95012401
3142 VISTA WAY STE 401, Oceanside, CA 92056
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1407406200, enumerated as an "individual" on September 13, 2019.
The provider is located at 3142 VISTA WAY STE 401 OCEANSIDE, CA 92056 and the phone number is (760) 681-5222.
Nurse Practitioner with taxonomy code 363LA2200X and a focus in Adult Health.