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

Mrs. Charity Katio Otieno

Individual provider Registered Nurse · NPI 1154985414

Mrs. Charity Katio Otieno is a Nurse Practitioner in Jackson, Michigan. Qualified in 2019, 7 years ago. Practices with W. A. Foote Memorial Hospital, Inc, a 478-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

3333 Spring Arbor Rd
Jackson, MI 49203-8605
Phone: (517) 205-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 4704267626 (MI)
Registered Nurse Taxonomy 163W00000X · Licence 4204267626 (MI)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence AG07190244 (MI)

Record details

NPI number1154985414
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 23, 2019
Last updated in NPPESJanuary 30, 2023
Certification dateJanuary 30, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice W. A. Foote Memorial Hospital, Inc. — 478 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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