Active NPI
Kristine Carter, RN, MS, PNP-BC
- Pediatric Nurse Practitioner
- Oakland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 22182
- Practice address
- 2950 International Blvd
Oakland, CA 94601-2228 - Phone
- (510) 535-4400
- NPI assigned
- Dec 14, 2012
- Last updated
- Sep 4, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 22182 | CA | Primary |
Addresses
Primary practice location
2950 International Blvd
Oakland, CA 94601-2228
Mailing address
991 14TH St BLDG H
Oakland, CA 94607-3230
Phone (510) 874-7272
Other practice location 1
991 14th St Bldg H
Oakland, CA 94607-3230
Phone (510) 874-7272
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Nurse Practitioner, Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Native American Health Center, Inc | Current | Accepting new patients | |
| Native American Health Center, Inc | Current | Accepting new patients | |
| Native American Health Center, Inc | Current | Accepting new patients |
Locations
2950 International Blvd
Oakland, CA 94601
Phone (510) 485-5948
3124 International Blvd
#2D
Oakland, CA 94601
160 Capp St
San Francisco, CA 94110
Phone (415) 417-3500
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Native American Health Center
- Federally Qualified Health Center (FQHC)
- San Francisco, CA
- NPI 1669642914
-
dba Native American Health Center
- Federally Qualified Health Center (FQHC)
- Oakland, CA
- NPI 1477250504
-
dba Native American Health Center
- Federally Qualified Health Center (FQHC)
- Oakland, CA
- NPI 1619147030
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725408000000",
"number": "1356687651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "991 14TH ST BLDG H",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946073230",
"telephone_number": "510-874-7272",
"fax_number": "510-834-3586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2950 INTERNATIONAL BLVD",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946012228",
"telephone_number": "510-535-4400"
}
],
"practiceLocations": [
{
"address_1": "991 14th St Bldg H",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946073230",
"country_code": "US",
"telephone_number": "510-874-7272",
"fax_number": "510-834-3586",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARTER",
"first_name": "KRISTINE",
"credential": "RN, MS, PNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-14",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CA",
"license": "22182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.