Active NPI
Kathryn Jean Veyna, NP
- Family Nurse Practitioner
- San Luis Obispo, CA
National Provider Identifier
1255374690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP14520
- Practice address
- 1304 Ella St Ste a
San Luis Obispo, CA 93401-4165 - Phone
- (805) 549-9555
- NPI assigned
- Jun 14, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN495632 | CA | |
| Physician Assistant | 363A00000X | PA17233 | CA | |
| Family Nurse Practitioner | 363LF0000X | NP14520 | CA | Primary |
Addresses
Primary practice location
1304 Ella St Ste a
San Luis Obispo, CA 93401-4165
Mailing address
1400 E. Church Street
Attention- Medical Staff Office
Santa Maria, CA 93454
Phone (805) 739-3954
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PA17233 | Other | CA | DCA- PA LICENSE |
| 14520 | Other | CA | NP FURNISHING NUMBER |
| RN495632 | Other | CA | LICENSE NUMBER |
Other names 1
- Kathryn Jean Smith
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140606000913 | CA | Practitioner - Nurse Practitioner | 4486550670 |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1400 E Church St
Attention Medical Staff Office
Santa Maria, CA 93454-5906
2625 E Divisadero St
Fresno, CA 93721-1431
5809 200TH St W
Farmington, MN 55024-9807
PO Box
Suite 4659
San Luis Obispo, CA 93403-4659
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14520 | CA | MD | Professional Counselor |
| RN495632 | CA | MD | Registered Nurse |
| PA17233 | CA | MD | Physician Assistant |
| NP14520 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Faculty Associates, Inc. | Past | Accepting new patients | |
| Pacific Central Coast Health Centers | Past | Accepting new patients | |
| California Cancer Associates for Research and Excellence Inc | Past | Accepting new patients |
Interoperability endpoints
- kathryn.veyna.1@10606.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Hematology & Oncology Physician
- Fresno, CA
- NPI 1083661607
-
- Community Health Clinic/Center
- Bakersfield, CA
- NPI 1720752355
-
- Emergency Medicine Physician
- Fresno, CA
- NPI 1235537283
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576800000000",
"number": "1255374690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 E. CHURCH STREET",
"address_2": "ATTENTION- MEDICAL STAFF OFFICE",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "93454",
"telephone_number": "805-739-3954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1304 ELLA ST STE A",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934014165",
"telephone_number": "805-549-9555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VEYNA",
"first_name": "KATHRYN",
"middle_name": "JEAN",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-14",
"last_updated": "2019-12-20",
"certification_date": "2019-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "RN495632",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA17233",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP14520",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DCA- PA LICENSE",
"identifier": "PA17233",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NP FURNISHING NUMBER",
"identifier": "14520",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "RN495632",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHRYN",
"last_name": "SMITH",
"middle_name": "JEAN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; 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.