MEDICARE: KAITLYN MEGAN CONSOLE PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	PA65553	CA

General Provider Information

NPI Number	:	1811851074
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAITLYN MEGAN CONSOLE PA-C

Provider Business Mailing Address
First Line	:	4170 S SHINGLE CT
Second Line	:
City	:	SHINGLE SPRINGS
State	:	CA
Zip	:	95682-9370
Country	:	US
Telephone Number	:	530-957-5624
Fax Number	:

Provider Business Practice Location Address
First Line	:	4170 S SHINGLE CT
Second Line	:
City	:	SHINGLE SPRINGS
State	:	CA
Zip	:	95682-9370
Country	:	US
Telephone Number	:	530-957-5624
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/12/2025
Last Update Date	:	12/12/2025

Similar Medicare Providers

1831790146 — SAMANTHA MAREE PETERSON
Practice Location Address:

40250 GIANT VIEW DR
STEAMBOAT SPRINGS, CO
80487-9370

Practice Phone: 970-871-7599
Practice Fax:

1164187605 — CANDY KAY BRUCE
Practice Location Address:

117 PARK DR
VALLEY SPRINGS, SD
57068-9370

Practice Phone: 605-351-9878
Practice Fax:

1437139821 — MR. DENNIS MICHAEL LACALLE PT
Practice Location Address:

5605 MILTON RANCH RD
SHINGLE SPRINGS, CA
95682-5124

Practice Phone: 530-409-4941
Practice Fax: 916-200-0430

1811006836 — APRIA HEALTHCARE LLC
Practice Location Address:

4295 BUSINESS DR
SHINGLE SPRINGS, CA
95682-7217

Practice Phone: 530-677-2701
Practice Fax:

1477654275 — MRS. ELIZABETH ANNA ZIMMERMAN M.S.O.T.R.
Practice Location Address:

3657 BLUEBERRY HILL DR
SHINGLE SPRINGS, CA
95682-8885

Practice Phone: 530-677-5492
Practice Fax: 530-677-5492

1285735084 — ASSISTED LIVING THERAPIES
Practice Location Address:

3657 BLUEBERRY HILL DR
SHINGLE SPRINGS, CA
95682-8885

Practice Phone: 530-677-5294
Practice Fax: 530-677-5294

Directions to “ KAITLYN MEGAN CONSOLE PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.