Individual provider Active NPI

Kathleen M Morgan, RN,, MS, PNP

  • Pediatric Nurse Practitioner
  • Greenbrae, CA
National Provider Identifier
1255522504
Registry record updated Aug 1, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
17372 Issued in CA
Practice address
599 Sir Francis Drake Blvd Ste 102
Greenbrae, CA 94904-1730
Phone
(415) 461-0440
NPI assigned
Aug 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 17372 CA Primary

Addresses

Primary practice location

599 Sir Francis Drake Blvd Ste 102
Greenbrae, CA 94904-1730

Mailing address

599 Sir Francis Drake Blvd Ste 102
Greenbrae, CA 94904-1730
Phone (415) 461-0440

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120416000694 CA Practitioner - Nurse Practitioner 3274794490 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
University of California San Francisco CurrentSince Feb 25, 2012 Accepting new patients
University of California San Francisco Current Accepting new patients
Regents of the University of California CurrentSince Feb 25, 2012 Accepting new patients
UCSF Pediatrics Associates CurrentSince Feb 25, 2012 Accepting new patients
University of California San Francisco CurrentSince Feb 25, 2012 Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients

Locations

599 Sir Francis Drake Blvd
Ste 102
Greenbrae, CA 94904
Phone (415) 776-7878

3333 California St
Ste 110
San Francisco, CA 94118

400 Parnassus Ave
San Francisco, CA 94143
Phone (415) 353-2000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#300
San Francisco, CA 94143
Phone (415) 476-2163

Organizations & group practices 6

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": "1185926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185926400000",
    "number": "1255522504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "599 SIR FRANCIS DRAKE BLVD STE 102",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949041730",
            "telephone_number": "415-461-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 SIR FRANCIS DRAKE BLVD STE 102",
            "city": "GREENBRAE",
            "state": "CA",
            "postal_code": "949041730",
            "telephone_number": "415-461-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "credential": "RN,, MS, PNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-01",
        "last_updated": "2007-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "17372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenbrae, CA

Sources for this page

Verify at the official NPI Registry.