Healthcare Provider Details

I. General information

NPI: 1467332973
Provider Name (Legal Business Name): KATHRYN COLE NP, PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2025
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 HOWE AVE STE 170N
SACRAMENTO CA
95825-8241
US

IV. Provider business mailing address

100 HOWE AVE STE 170N
SACRAMENTO CA
95825-8241
US

V. Phone/Fax

Practice location:
  • Phone: 925-282-1778
  • Fax: 415-296-5299
Mailing address:
  • Phone: 925-282-1778
  • Fax: 415-296-5299

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number95036043
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number813960
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: