Martha Kilkenny, F.N.P, R.N

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN258149 Issued in CA

Practice address

370 Del Norte Ave Ste 201
Yuba City, CA 95991-4142

Phone

(530) 821-2020

Fax

(530) 751-2704

NPI assigned

Sep 8, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

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.

• Pacific Redwood Medical Group Inc

  • Emergency Medicine Physician
  • Ukiah, CA
  • NPI 1033103676
  NPD (past)

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

{
    "created_epoch": "1126137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1245224997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3067",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959923067",
            "telephone_number": "530-751-4784",
            "fax_number": "530-751-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 DEL NORTE AVE STE 201",
            "city": "YUBA CITY",
            "state": "CA",
            "postal_code": "959914142",
            "telephone_number": "530-821-2020",
            "fax_number": "530-751-2704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "260 Hospital Dr",
            "address_2": "Suite 207",
            "address_purpose": "LOCATION",
            "city": "Ukiah",
            "state": "CA",
            "postal_code": "954824533",
            "country_code": "US",
            "telephone_number": "707-463-8000",
            "fax_number": "707-462-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILKENNY",
        "first_name": "MARTHA",
        "name_prefix": "Mrs.",
        "credential": "F.N.P, R.N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-08",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "RN258149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PIN #",
            "identifier": "ZZZ15652Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Faizan Khan
• Mussarat Khan
• Rashad Riaz Khan, D.C.
• Lexy Rae Kidd
• Mikevia Lona Kiles
• Alexander P Kim, DO
• Angela Yoonha Kim, DO, MPH
• Helen Kim
• Yong Chin Kim, DDS, MSD
• Ashley Marie King

• Nurse Practitioner in Yuba City, CA
• Providers in Yuba City, CA by specialty
• Nurse Practitioner in California

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