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KATY WALDORF
NPI 1720860828
Nurse Practitioner - Psychiatric/Mental Health in Roseville, CA

Active since October 16, 2023
1700 EUREKA RD, ROSEVILLE, CA 95661(916) 907-7676(916) 269-9766 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 12, 2026, Oct 16, 2023 (2 updates tracked since 2023).

About Katy Waldorf NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATY WALDORF (NPI 1720860828) is an individual psychiatric/mental health provider in Roseville, California, licensed in California (95024343) and active in the NPI registry since October 2023.

NPPES Registry Identity

NPI1720860828
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameKATY WALDORF
Location Address1700 EUREKA RDRoseville, CA 95661-7720
Mailing Address1700 Eureka Rd Ste 155Roseville, CA 95661-7786 · (916) 907-7676 · Fax (916) 269-9766
Phone(916) 907-7676
Fax(916) 269-9766
Sole ProprietorNo
Enumeration DateOctober 16, 2023
Last NPPES UpdateMarch 12, 20262 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
✔ NPI 1720860828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95024343
1700 EUREKA RD, Roseville, CA 95661
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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CRYSTAL HARPER DMINCC
Counselor (Pastoral)
1700 EUREKA RD, SUITE 155-7
ROSEVILLE, CA 95661
Placer County (916) 993-2345

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katy Waldorf's NPI number?

The NPI number for Katy Waldorf is 1720860828. It was assigned to this individual provider in the NPPES registry on October 16, 2023.

Where is Katy Waldorf located?

Katy Waldorf practices at 1700 Eureka Rd, Roseville, CA 95661. The listed phone number is (916) 907-7676.

What is Katy Waldorf's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Katy Waldorf was last updated on March 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.