Individual provider Active NPI

Kami B Bath, MSN, FNP

  • Family Nurse Practitioner
  • Yuba City, CA
National Provider Identifier
1114173465
Registry record updated Jul 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP 18173 Issued in CA
Practice address
1000 Sutter St
Yuba City, CA 95991-3459
Phone
(530) 673-9420
Fax
(530) 673-9451
NPI assigned
Aug 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP 18173 CA Primary

Addresses

Primary practice location

1000 Sutter St
Yuba City, CA 95991-3459

Mailing address

PO Box a D
Yuba City, CA 95992-1396
Phone (530) 751-3769

Other identifiers 1

IdentifierTypeStateIssuer
18173OtherCACALIFORNIA BOARD OD REGISTERED NURSING

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
I20170627002624 CA Practitioner - Nurse Practitioner 7911143474 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
18173CAMDAddiction (Substance Use Disorder) Counselor
NP 18173CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ampla Health CurrentSince May 7, 2017 Accepting new patients
Ampla Health CurrentSince May 7, 2017 Accepting new patients
Ampla Health Current Accepting new patients

Locations

2800 Lincoln St
Oroville, CA 95966
Phone (530) 534-7500

1000 Sutter St
Yuba City, CA 95991
Phone (530) 673-9420

935 Market St
Yuba City, CA 95991
Phone (530) 674-4261

Interoperability endpoints

  • Direct secure messaging: kami.bath@ampla.eclinicaldirectplus.com

Organizations & group practices 3

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": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309478400000",
    "number": "1114173465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX A D",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959921396",
            "telephone_number": "530-751-3769",
            "fax_number": "530-751-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SUTTER ST",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959913459",
            "telephone_number": "530-673-9420",
            "fax_number": "530-673-9451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATH",
        "first_name": "KAMI",
        "middle_name": "B",
        "credential": "MSN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-18",
        "last_updated": "2011-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP 18173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OD REGISTERED NURSING",
            "identifier": "18173",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuba City, CA

Sources for this page

Verify at the official NPI Registry.