Peter Kusnierczyk, FNP MSN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

391426 Issued in CA

Practice address

6066 Civic Terrace Ave
Newark, CA 94560-3746

Phone

(510) 494-7235

Fax

(510) 494-7210

NPI assigned

Jan 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316093362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 MIRAMAR AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941121213",
            "telephone_number": "415-585-4509",
            "fax_number": "510-494-7210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6066 CIVIC TERRACE AVE",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945603746",
            "telephone_number": "510-494-7235",
            "fax_number": "510-494-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSNIERCZYK",
        "first_name": "PETER",
        "credential": "FNP MSN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "391426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariza Krasno, MT
• Cameron Bailey Krishna
• Jason A Krupp, MD
• Preeti Kumar, D.D.S
• Sonia Kurusamy
• Alison Kyaw, OD
• Laavi Pharmacy, a Professional Corporation
• Vanessa Alyssa Labarga
• You-Wei Lai
• Cecilia Landaverde Landaverde

• Family Nurse Practitioner in Newark, CA
• Providers in Newark, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.