Individual provider Active NPI

Karmolette O'Gilvie, RN

  • Diabetes Educator Registered Nurse
  • Yucca Valley, CA
National Provider Identifier
1295496628
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diabetes Educator Registered NurseTaxonomy code 163WD0400X
License
552906 Issued in CA
Practice address
6530 La Contenta Rd Ste 100
Yucca Valley, CA 92284-7313
Phone
(760) 365-9305
NPI assigned
Jan 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diabetes Educator Registered Nurse 163WD0400X 552906 CA Primary

Addresses

Primary practice location

6530 La Contenta Rd Ste 100
Yucca Valley, CA 92284-7313

Mailing address

6530 La Contenta Rd Ste 100
Yucca Valley, CA 92284-7313
Phone (760) 365-9305

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
552906CAMDDiabetes Educator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1295496628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6530 LA CONTENTA RD STE 100",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922847313",
            "telephone_number": "760-365-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6530 LA CONTENTA RD STE 100",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922847313",
            "telephone_number": "760-365-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'GILVIE",
        "first_name": "KARMOLETTE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-07",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "CA",
            "license": "552906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yucca Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; 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.