Individual provider Active NPI

Kay Weinshienk, D.O.

  • General Practice Physician
  • Sebastopol, CA
National Provider Identifier
1124165220
Registry record updated Apr 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
20A7334 Issued in CA
Practice address
145 Pleasant Hill Ave N Ste 104
Sebastopol, CA 95472-3110
Phone
(707) 824-9090
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 20A7334 CA Primary

Addresses

Primary practice location

145 Pleasant Hill Ave N Ste 104
Sebastopol, CA 95472-3110

Mailing address

PO Box 2460
Nevada City, CA 95959-1948
Phone (530) 575-9897

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)
Enrolled
Credentials
Doctor of Osteopathy

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365552000000",
    "number": "1124165220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2460",
            "city": "NEVADA CITY",
            "state": "CA",
            "postal_code": "959591948",
            "telephone_number": "530-575-9897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 PLEASANT HILL AVE N STE 104",
            "city": "SEBASTOPOL",
            "state": "CA",
            "postal_code": "954723110",
            "telephone_number": "707-824-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINSHIENK",
        "first_name": "KAY",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2013-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "20A7334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebastopol, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2013; 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.