Active NPI
Kelly Colleen Nugent
- Counselor
- Bishop, CA
National Provider Identifier
1093380693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 162 Grove St Ste J
Bishop, CA 93514-2640 - Phone
- (760) 873-6533
- Fax
- (760) 873-3277
- NPI assigned
- May 25, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
162 Grove St Ste J
Bishop, CA 93514-2640
Mailing address
162 Grove St Ste J
Bishop, CA 93514-2640
Phone (760) 873-6533
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621900800000",
"number": "1093380693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "162 GROVE ST STE J",
"city": "BISHOP",
"state": "CA",
"postal_code": "935142640",
"telephone_number": "760-873-6533",
"fax_number": "760-873-3277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "162 GROVE ST STE J",
"city": "BISHOP",
"state": "CA",
"postal_code": "935142640",
"telephone_number": "760-873-6533",
"fax_number": "760-873-3277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUGENT",
"first_name": "KELLY",
"middle_name": "COLLEEN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-25",
"last_updated": "2021-05-25",
"certification_date": "2021-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bishop, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.