Individual provider Active NPI

Kathleen Alice Kinrade, FNP

  • Nurse Practitioner
  • Cypress, CA
National Provider Identifier
1013060144
Registry record updated Jul 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
469155 Issued in CA
Practice address
9200 Valley View St
Cypress, CA 90630-5805
Phone
(714) 484-7361
NPI assigned
Jan 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 469155 CA Primary

Addresses

Primary practice location

9200 Valley View St
Cypress, CA 90630-5805

Mailing address

4132 Sebren Ave
Lakewood, CA 90713-3036
Phone (562) 421-7581

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
469155CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cypress College Health Center Past Accepting new patients
North Orange County Community College District Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185494400000",
    "number": "1013060144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4132 SEBREN AVE",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907133036",
            "telephone_number": "562-421-7581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9200 VALLEY VIEW ST",
            "city": "CYPRESS",
            "state": "CA",
            "postal_code": "906305805",
            "telephone_number": "714-484-7361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINRADE",
        "first_name": "KATHLEEN",
        "middle_name": "ALICE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-20",
        "last_updated": "2007-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "469155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.