Active NPI
Nicole Carolyn Kerr, C.O
- Orthotist
- Bakersfield, CA
National Provider Identifier
1376092627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthotist
- License
- CO005654
- Practice address
- 1524 21St St
Bakersfield, CA 93301-4002 - Phone
- (661) 322-1005
- NPI assigned
- Sep 28, 2016
- 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 |
|---|---|---|---|---|
| Orthotist | 222Z00000X | CO005654 | CA | Primary |
Addresses
Primary practice location
1524 21St St
Bakersfield, CA 93301-4002
Mailing address
1524 21St St
Bakersfield, CA 93301-4002
Phone (661) 322-1005
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CO005654 | CA | MD | Orthotist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475020800000",
"number": "1376092627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1524 21ST ST",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933014002",
"telephone_number": "661-322-1005"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1524 21ST ST",
"city": "BAKERSFIELD",
"state": "CA",
"postal_code": "933014002",
"telephone_number": "661-322-1005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERR",
"first_name": "NICOLE",
"middle_name": "CAROLYN",
"credential": "C.O",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-28",
"last_updated": "2016-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "CA",
"license": "CO005654",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bakersfield, CA
- Kern Urgent Care
- Kern Valley Dental
- Kern Valleyidence Opco, LLC (San Joaquin Nursing Center)
- Kern Women's Health Group
- Blake Kerr, CSWII MSW
- Salina Regina Kerr
- Candace R Kerwin, LCSW
- Brett V Kesler, D.P.M.
- Ketamine Ca PC
- Kevin D. Trinh, MD and John L. Brazill, MD, a Medical Corp. (Bakersfield Pain Management, Inc.)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.