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

Miss. Katlin Grace Kellogg, FNP-BC

Individual provider Primary Care Nurse Practitioner · NPI 1578299665

Miss. Katlin Grace Kellogg, FNP-BC is a Nurse Practitioner in Eureka, California. Qualified in 2021, 5 years ago. Practices with Open Door Community Health Centers, a 114-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2022
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

2200 Tydd St
Eureka, CA 95501-1284
Phone: (707) 441-1624
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 95020610 (CA)

Record details

NPI number1578299665
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedJuly 29, 2022
Last updated in NPPESJuly 29, 2022
Certification dateJuly 29, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Open Door Community Health Centers — 114 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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