Individual provider Active NPI

Kristine Carter, RN, MS, PNP-BC

  • Pediatric Nurse Practitioner
  • Oakland, CA
National Provider Identifier
1356687651
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
22182 Issued in CA
Practice address
2950 International Blvd
Oakland, CA 94601-2228
Phone
(510) 535-4400
NPI assigned
Dec 14, 2012
Last updated
Sep 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210331000640 CA Practitioner - Nurse Practitioner 1355758210 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Native American Health Center, Inc CurrentSince Dec 1, 2024 Accepting new patients
Native American Health Center, Inc CurrentSince Dec 1, 2024 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.

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

Verify at the official NPI Registry.