Paul Tugulumize Kiruuta, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

NP95006004 Issued in CA

Practice address

1114 6TH St
Modesto, CA 95354-2203

Phone

(209) 576-2845

Fax

(209) 576-8842

NPI assigned

Dec 13, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: paul.kiruuta.1@14789.direct.athenahealth.com

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.

• Brighter Beginnings

  • Federally Qualified Health Center (FQHC)
  • Richmond, CA
  • NPI 1942638978
  Medicare reassignment NPD
• Ritter Center

  • Federally Qualified Health Center (FQHC)
  • San Rafael, CA
  • NPI 1417370032
  Medicare reassignment NPD
• Contra Costa County

  • Adult Mental Health Clinic/Center
  • San Pablo, CA
  • NPI 1376620336
  Medicare reassignment
• Brighter Beginnings

  • Community/Behavioral Health Agency
  • Oakland, CA
  • NPI 1629275839
  NPD

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503619200000",
    "number": "1124562939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2637 SHADELANDS DR",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982512",
            "telephone_number": "925-948-8143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1114 6TH ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953542203",
            "telephone_number": "209-576-2845",
            "fax_number": "209-576-8842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRUUTA",
        "first_name": "PAUL",
        "middle_name": "TUGULUMIZE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-13",
        "last_updated": "2017-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN95078148",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95006004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiritkumar B Patel MD Inc
• Brittney L Kirkland
• David Andrew Kirkpatrick
• Carly Kirland
• Kathleen E Kirros, RN-PHN
• Nina M Kiser I
• Paula Kiss
• Jenna Ann Kissinger
• Jonathan Kistler, M.D.
• Philip James Kitchen, PHARM.D.

• Family Nurse Practitioner in Modesto, CA
• Providers in Modesto, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.