Individual provider Active NPI

Kristen Hughes, CPNP-PC

  • Pediatric Nurse Practitioner
  • Leona Valley, CA
National Provider Identifier
1114709821
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
95028008 Issued in CA
Practice address
9889 Elizabeth Lake Rd
Leona Valley, CA 93551-7103
Phone
(661) 361-8470
NPI assigned
Oct 17, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95307559 CA
Pediatric Nurse Practitioner 363LP0200X 95028008 CA Primary

Addresses

Primary practice location

9889 Elizabeth Lake Rd
Leona Valley, CA 93551-7103

Mailing address

9889 Elizabeth Lake Rd
Leona Valley, CA 93551-7103
Phone (661) 361-8470

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
95307559CAMDRegistered Nurse
95028008CAMDPediatric Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: kristen.hughes.p6@direct.hdmgipa.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1114709821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9889 ELIZABETH LAKE RD",
            "city": "LEONA VALLEY",
            "state": "CA",
            "postal_code": "935517103",
            "telephone_number": "661-361-8470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9889 ELIZABETH LAKE RD",
            "city": "LEONA VALLEY",
            "state": "CA",
            "postal_code": "935517103",
            "telephone_number": "661-361-8470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "KRISTEN",
        "credential": "CPNP-PC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-17",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95307559",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95028008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leona Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.