Provider Demographics
NPI:1891548277
Name:KITTS FERRARA, OMNI KATHERINE (RN, DOULA)
Entity Type:Individual
Prefix:MRS
First Name:OMNI
Middle Name:KATHERINE
Last Name:KITTS FERRARA
Suffix:
Gender:F
Credentials:RN, DOULA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2279 BECKHAM DR NE
Mailing Address - Street 2:
Mailing Address - City:RIO RANCHO
Mailing Address - State:NM
Mailing Address - Zip Code:87144-1472
Mailing Address - Country:US
Mailing Address - Phone:973-864-7098
Mailing Address - Fax:
Practice Address - Street 1:2279 BECKHAM DR NE
Practice Address - Street 2:
Practice Address - City:RIO RANCHO
Practice Address - State:NM
Practice Address - Zip Code:87144-1472
Practice Address - Country:US
Practice Address - Phone:505-600-1464
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM75560163WM0102X, 163WX0003X
NM374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula
No163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn
No163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient