Individual provider Active NPI

Kysha Abner, RN

  • Occupational Health Registered Nurse
  • San Bernardino, CA
National Provider Identifier
1225670268
Registry record updated Oct 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Health Registered NurseTaxonomy code 163WX0106X
License
598111 Issued in CA
Practice address
1910 E Central Ave
San Bernardino, CA 92408-0123
Phone
(909) 277-7416
NPI assigned
Oct 10, 2019
Last updated
Oct 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Health Registered Nurse 163WX0106X 598111 CA Primary

Addresses

Primary practice location

1910 E Central Ave
San Bernardino, CA 92408-0123

Mailing address

1910 E Central Ave
San Bernardino, CA 92408-0123
Phone (909) 277-7416

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
598111CAMDOccupational Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Occupational Health Centers of California, a Medical Corporation CurrentSince Oct 13, 2019 Accepting new patients

Locations

1910 E Central Ave
San Bernardino, CA 92408
Phone (909) 277-7416

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1570665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570665600000",
    "number": "1225670268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 E CENTRAL AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924080123",
            "telephone_number": "909-277-7416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 E CENTRAL AVE",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924080123",
            "telephone_number": "909-277-7416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABNER",
        "first_name": "KYSHA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-10",
        "last_updated": "2019-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "CA",
            "license": "598111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2019; 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.