Active NPI
Keesha Cravanas, CNS
- Clinical Nurse Specialist
- Oakland, CA
National Provider Identifier
1124216890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Nurse Specialist
- License
- 2774
- Practice address
- 700 Adeline St
Oakland, CA 94607-2608 - Phone
- (510) 302-3790
- Fax
- (510) 272-0209
- NPI assigned
- Oct 9, 2007
- 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 |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | 2774 | CA | Primary |
Addresses
Primary practice location
700 Adeline St
Oakland, CA 94607-2608
Mailing address
700 Adeline St
Oakland, CA 94607-2608
Phone (510) 302-3790
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
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2774 | CA | MD | Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1191888000000",
"number": "1124216890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 ADELINE ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946072608",
"telephone_number": "510-302-3790",
"fax_number": "510-272-0209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 ADELINE ST",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946072608",
"telephone_number": "510-302-3790",
"fax_number": "510-272-0209"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRAVANAS",
"first_name": "KEESHA",
"credential": "CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-10-09",
"last_updated": "2007-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "CA",
"license": "2774",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
- Craniofacial Med Assoc Cho
- Craniofacial Medical Assoc of Chrco
- Cheryl Cranshaw, LMFT
- Rachel Cratsenburg, AMFT
- Jlynn Charlisa Cravanas Sasser, BEHAVIORAL HEALTH
- Leslie Marie Craven, OTR/L
- Patricia Elenore Craven, MFT
- Amber D Cravens, NP
- Diyana R. Crawford-Fernandez
- James Edward Crawford-Jakubiak, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.