KATHERINE WYATT NP
NPI 1831542620
Nurse Practitioner - Family in Riverside, CA

Q: What is Katherine Wyatt's NPI number?

The NPI number for Katherine Wyatt is 1831542620. It was assigned to this individual provider in the NPPES registry on July 18, 2016.

Q: What is Katherine Wyatt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Katherine Wyatt was last updated on July 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 18, 2016

3772 TIBBETTS ST, RIVERSIDE, CA 92506(951) 222-1523 Get Directions Write a Review

NPPES record last updated: July 2, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 2, 2021, Sep 16, 2016 (2 updates tracked since 2016).

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About Katherine Wyatt Np NPPES

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

KATHERINE WYATT NP (NPI 1831542620) is an individual family provider in Riverside, California, licensed in California (95004936) and active in the NPI registry since July 2016. She maintains a secondary practice location in Colton.

NPPES Registry Identity

NPI1831542620

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKATHERINE WYATTCredential: NP

Location Address3772 TIBBETTS STRiverside, CA 92506-2605

Mailing Address3772 Tibbetts StRiverside, CA 92506-2605 · (951) 222-1523 · Fax (951) 682-7904

Phone(951) 222-1523

Sole ProprietorNo

Enumeration DateJuly 18, 2016

Last NPPES UpdateJuly 2, 20212 updates tracked since enumeration

NPPES CertifiedJuly 2, 2021

✔ NPI 1831542620 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 95004936

Also ListedRegistered NurseTaxonomy 163W00000X · License 790215 (CA)

3772 TIBBETTS ST, Riverside, CA 92506

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Secondary Practice Location 1

Location 11059 N Mount Vernon AveColton, CA 92324-2500 · Phone (909) 423-0512

Other Providers at the Same Location NPPES 20

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

VANESSA AVILA RN

Registered Nurse (Women's Health Care, Ambulatory)