Individual provider Active NPI

Harshpreet Kaur Khroud

  • Psychiatric/Mental Health Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1063279776
Registry record updated Feb 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95029107 Issued in CA
Practice address
6645 E Farrin Ave
Fresno, CA 93727-0819
Phone
(559) 940-0084
NPI assigned
Feb 29, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95029107 CA Primary

Addresses

Primary practice location

6645 E Farrin Ave
Fresno, CA 93727-0819

Mailing address

6645 E Farrin Ave
Fresno, CA 93727-0819
Phone (559) 940-0084

Other names 1

  • Harshpreet Kaur Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251218003350 CA Practitioner - Nurse Practitioner 6204321060 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

106 E 1St St
Cloverdale, CA 95425-3736

6 Tarman Dr
Cloverdale, CA 95425-3932

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95029107CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coppertower Family Medical Center CurrentSince Dec 11, 2025 Accepting new patients
Coppertower Family Medical Center CurrentSince Dec 11, 2025 Accepting new patients

Locations

100 W 3rd St
Cloverdale, CA 95425
Phone (707) 669-1806

6 Tarman Dr
Cloverdale, CA 95425
Phone (707) 894-4229

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGIABA/Endpoint/DGIABA

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": "1709164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709164800000",
    "number": "1063279776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6645 E FARRIN AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937270819",
            "telephone_number": "559-940-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6645 E FARRIN AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937270819",
            "telephone_number": "559-940-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHROUD",
        "first_name": "HARSHPREET",
        "middle_name": "KAUR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-29",
        "last_updated": "2024-02-29",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95029107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HARSHPREET",
            "last_name": "KAUR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.