Active NPI
Aimee Kvandal, FNP
- Registered Nurse
- Thousand Oaks, CA
National Provider Identifier
1467045229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 843087
- Practice address
- 77 Rolling Oaks Dr
Thousand Oaks, CA 91361-1011 - Phone
- (805) 719-3700
- NPI assigned
- Feb 12, 2021
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 843087 | CA | Primary |
Addresses
Primary practice location
77 Rolling Oaks Dr
Thousand Oaks, CA 91361-1011
Mailing address
5237 Lynnwood Dr
Camarillo, CA 93012-4137
Phone (443) 440-0429
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| F01211052 | Other | CA | FNP CERTIFICATE |
| 843087 | Other | CA | RN LICENSE |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 843087 | CA | MD | Registered Nurse |
Interoperability endpoints
- https://api.platform.athenahealth.com/22913/brand/1/csg/1/fhir/r4
- aimee.kvandal.p1@direct.ifh.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1613088000000",
"number": "1467045229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5237 LYNNWOOD DR",
"city": "CAMARILLO",
"state": "CA",
"postal_code": "930124137",
"telephone_number": "443-440-0429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 ROLLING OAKS DR",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913611011",
"telephone_number": "805-719-3700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KVANDAL",
"first_name": "AIMEE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-02-12",
"last_updated": "2021-02-12",
"certification_date": "2021-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "843087",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FNP CERTIFICATE",
"identifier": "F01211052",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSE",
"identifier": "843087",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.