Michelle Nikole Kabakibi, DNP, FNP-C, AGNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95007249 Issued in CA

Practice address

6367 Alvarado CT
San Diego, CA 92120-4904

Phone

(619) 583-1954

NPI assigned

Aug 31, 2017

Sex

Female

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

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mkabakibi34330@sharphealthcare.direct-ci.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.

• Bernard a. Michlin, M.D., a Professional Corporation

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1134881980
  Medicare reassignment NPD
• Kabakibi Medical Corporation

  • Internal Medicine Physician
  • San Diego, CA
  • NPI 1740330471
  NPD

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

{
    "created_epoch": "1504137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504137600000",
    "number": "1154849909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4629 CASS ST STE 51",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921092805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6367 ALVARADO CT",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204904",
            "telephone_number": "619-583-1954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABAKIBI",
        "first_name": "MICHELLE",
        "middle_name": "NIKOLE",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C, AGNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-31",
        "last_updated": "2017-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95007249",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95007249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Massara Kababchy
• Julia Kabacka, MEDICAL STUDENT
• Dipalee D Kabade
• Kabakibi Medical Corporation
• Ahmad Kabakibi, MD
• Nicole Melissa Kabat
• Sera Kabaya
• Rebecca Ozeroff Kaber, LCSW
• Safiya Kabiri-Garcia
• Amy Kabler

• Family Nurse Practitioner in San Diego, CA
• Providers in San Diego, 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 31, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.