Individual provider Active NPI

Kara Geno, APN

  • Family Nurse Practitioner
  • Indian Wells, CA
National Provider Identifier
1356904502
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95033665 Issued in CA
Practice address
74785 US Highway 111 Ste 101
Indian Wells, CA 92210-7129
Phone
(760) 776-8989
NPI assigned
Apr 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 25754 TN
Family Nurse Practitioner 363LF0000X 5021288 NC
Family Nurse Practitioner 363LF0000X 53-83666-092 KS
Family Nurse Practitioner 363LF0000X 95033665 CA Primary

Addresses

Primary practice location

74785 US Highway 111 Ste 101
Indian Wells, CA 92210-7129

Mailing address

8063 Burgundy Cir
Chattanooga, TN 37421-1290
Phone (423) 361-2288

Other identifiers 1

IdentifierTypeStateIssuer
Q048300MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20190523002297 TN Practitioner - Nurse Practitioner 1052654597 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
95033665CAMDFamily Nurse Practitioner
53-83666-092KSMDFamily Nurse Practitioner
5021288NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Halo Medical Group CurrentSince Oct 8, 2024 Accepting new patients
Thompson Oncology Group CurrentSince Apr 15, 2019 Accepting new patients
HMG Urology PC Past Accepting new patients
Halo Breast Care Center Professional Corporation Past Accepting new patients

Locations

1720 Esplanade
Chico, CA 95926
Phone (530) 898-0500

74785 US Highway 111
Ste 101
Indian Wells, CA 92210
Phone (760) 346-4329

1915 White Ave
Knoxville, TN 37916
Phone (423) 977-1065

Dept 888078
Knoxville, TN 37995

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1555286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1356904502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8063 BURGUNDY CIR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374211290",
            "telephone_number": "423-361-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74785 US HIGHWAY 111 STE 101",
            "city": "INDIAN WELLS",
            "state": "CA",
            "postal_code": "922107129",
            "telephone_number": "760-776-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENO",
        "first_name": "KARA",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-15",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "25754",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5021288",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-83666-092",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95033665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q048300",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Wells, CA

Sources for this page

Verify at the official NPI Registry.