Kristin Nicole Tastet, NP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

20515 Issued in CA

Practice address

3000 Hanover St BLDG 20
Palo Alto, CA 94304-1112

Phone

(650) 319-1080

Fax

(650) 319-0889

NPI assigned

Jun 25, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Kristin Nicole Tastet Star Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Premise Health of California Medical PC

  • Primary Care Clinic/Center
  • Palo Alto, CA
  • NPI 1255635306
  NPD (past)

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

{
    "created_epoch": "1308960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1316233596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 HANOVER ST BLDG 20",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041112",
            "telephone_number": "650-319-1080",
            "fax_number": "650-319-0889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 HANOVER ST BLDG 20",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943041112",
            "telephone_number": "650-319-1080",
            "fax_number": "650-319-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TASTET",
        "first_name": "KRISTIN",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "20515",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTIN",
            "last_name": "TASTET STAR",
            "middle_name": "NICOLE",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Targ Surgery Center
• Alexander Gary Targ, M.D.
• Elissa Tarpey, RN
• Michael H Tarr, D.C.
• Daniel Tassone, PHD
• Sallie Reid Tasto, PH.D.
• Tyler Patrick Tate, MD
• Jasmine Tatum
• Roberta Taufoou
• Misha Tavaf, DPM

• Family Nurse Practitioner in Palo Alto, CA
• Providers in Palo Alto, 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 21, 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.