Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Annie Rose Condolon-Kohler, NP

Individual provider Family Nurse Practitioner · NPI 1174086359

Annie Rose Condolon-Kohler, NP is a Nurse Practitioner in Fairfield, California. Qualified in 2018, 8 years ago. Practices with Northbay Health Medical Foundation, a 202-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2019
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

4520 Business Center Dr
Fairfield, CA 94534-6888
Phone: (707) 646-5500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95011293 (CA)

Record details

NPI number1174086359
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedApril 13, 2019
Last updated in NPPESApril 13, 2019

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Northbay Health Medical Foundation — 202 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Fairfield