Individual provider Active NPI

Virginia Hart-Kepler, MN RN FNP-C

  • Family Nurse Practitioner
  • Pomona, CA
National Provider Identifier
1437306644
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
629729 Issued in CA
Practice address
750 S Park Ave
Room 101
Pomona, CA 91766-3129
Phone
(909) 622-6516
NPI assigned
Aug 20, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2008

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 629729 CA Primary

Addresses

Primary practice location

750 S Park Ave
Room 101
Pomona, CA 91766-3129

Mailing address

750 S Park Ave
Room 101
Pomona, CA 91766-3129
Phone (909) 622-6516

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
I20160726002225 CA Order and Referring Only - Nurse Practitioner 1951694173

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
629729CAMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: virginia.hartkepler.p192@direct.healthcarepartners.nextgenshare.com

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219190400000",
    "number": "1437306644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 S PARK AVE",
            "address_2": "ROOM 101",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917663129",
            "telephone_number": "909-622-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 S PARK AVE",
            "address_2": "ROOM 101",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917663129",
            "telephone_number": "909-622-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART-KEPLER",
        "first_name": "VIRGINIA",
        "credential": "MN RN FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "629729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.