Active NPI
Kathleen Mary Dupont, PA-C
- Physician Assistant
- Lompoc, CA
National Provider Identifier
1235448283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 1225 N H St
Lompoc, CA 93436-3301 - Phone
- (805) 737-8786
- Fax
- (805) 737-8783
- NPI assigned
- Sep 24, 2010
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
1225 N H St
Lompoc, CA 93436-3301
Mailing address
PO Box 62106
Santa Barbara, CA 93160-2106
Phone (805) 681-1760
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA21243 | Other | CA | STATE LICENSE |
Other names 1
- Miss Kathleen Mary Kirshtner
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429056000000",
"number": "1235448283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 62106",
"city": "SANTA BARBARA",
"state": "CA",
"postal_code": "931602106",
"telephone_number": "805-681-1760",
"fax_number": "805-681-1768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 N H ST",
"city": "LOMPOC",
"state": "CA",
"postal_code": "934363301",
"telephone_number": "805-737-8786",
"fax_number": "805-737-8783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUPONT",
"first_name": "KATHLEEN",
"middle_name": "MARY",
"name_prefix": "Mrs.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-09-24",
"last_updated": "2015-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "PA21243",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHLEEN",
"last_name": "KIRSHTNER",
"middle_name": "MARY",
"prefix": "MISS",
"credential": "PA-C",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Lompoc, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.