Individual provider Active NPI

Jessica Jane Kemprud, FN.P.

  • Family Medicine Physician
  • Dublin, CA
National Provider Identifier
1225170244
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13138 Issued in CA
Practice address
7667 Amador Valley Blvd
Dublin, CA 94568-2341
Phone
(925) 828-9211
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 13138 CA Primary

Addresses

Primary practice location

7667 Amador Valley Blvd
Dublin, CA 94568-2341

Mailing address

7667 Amador Valley Blvd.
Dublin, CA 94568

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
13138CAMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Amador Valley Medical Center Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1225170244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7667 AMADOR VALLEY BLVD.",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "94568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7667 AMADOR VALLEY BLVD",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945682341",
            "telephone_number": "925-828-9211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMPRUD",
        "first_name": "JESSICA",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "FN.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "13138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.