Individual provider Active NPI

Kristi Dawn Ferchland, NP

  • Family Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1316652241
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95020029 Issued in CA
Practice address
2051 Cushing Rd
San Diego, CA 92106-6173
Phone
(619) 524-0995
NPI assigned
Jan 16, 2023
Last updated
Sep 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95020029 CA Primary

Addresses

Primary practice location

2051 Cushing Rd
San Diego, CA 92106-6173

Mailing address

2051 Cushing Rd
San Diego, CA 92106-6173
Phone (619) 524-0995

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kristi.d.ferchland.mil@health.mil

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95020029CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1316652241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2051 CUSHING RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921066173",
            "telephone_number": "619-524-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2051 CUSHING RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921066173",
            "telephone_number": "619-524-0995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERCHLAND",
        "first_name": "KRISTI",
        "middle_name": "DAWN",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-16",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95020029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kristi.d.ferchland.mil@health.mil",
            "affiliation": "N",
            "address_1": "34800 Bob Wilson Dr",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921341098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; 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.