Active NPI
Kirsten C Duggins, P.A., N.P.
- Nurse Practitioner
- Los Gatos, CA
National Provider Identifier
1265497630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 257522-4568
- Practice address
- 221 Brooke Acres Dr
Los Gatos, CA 95032-6462 - Phone
- (408) 656-9049
- NPI assigned
- Apr 19, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA12256 | CA | |
| Surgical Physician Assistant | 363AS0400X | PA 12256 | CA | |
| Nurse Practitioner | 363L00000X | 257522-4568 | CA | Primary |
Addresses
Primary practice location
221 Brooke Acres Dr
Los Gatos, CA 95032-6462
Mailing address
221 Brooke Acres Dr
Los Gatos, CA 95032-6462
Phone (408) 656-9049
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
- Credentials
- Nurse Practitioner, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA 12256 | CA | MD | Surgical Physician Assistant |
| 257522-4568 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| O'Connor Hospital Home Health Care Agency | Past | Accepting new patients | |
| First Assist Surgical Associates | Physician Assistant | Past | Accepting new patients |
| O'Connor Hospital | Past | Accepting new patients |
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.
-
- Nurse Practitioner
- Los Gatos, CA
- NPI 1093009482
Physician Assistant
-
- General Acute Care Hospital
- San Jose, CA
- NPI 1285738880
-
- Home Health Agency
- San Jose, CA
- NPI 1053392308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320105600000",
"number": "1265497630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 BROOKE ACRES DR",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950326462",
"telephone_number": "408-656-9049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 BROOKE ACRES DR",
"city": "LOS GATOS",
"state": "CA",
"postal_code": "950326462",
"telephone_number": "408-656-9049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUGGINS",
"first_name": "KIRSTEN",
"middle_name": "C",
"name_prefix": "Ms.",
"credential": "P.A., N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-19",
"last_updated": "2011-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA12256",
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "PA 12256",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "257522-4568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Gatos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.