Active NPI
Kathryn Lynn Kestler, RN, PHN
- Registered Nurse
- Grass Valley, CA
National Provider Identifier
1467765222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 502202
- Practice address
- 500 Crown Pint Circle Suite 120
Grass Valley, CA 95945 - Phone
- (530) 265-1437
- NPI assigned
- Jul 22, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 | 502202 | CA | Primary |
Addresses
Primary practice location
500 Crown Pint Circle Suite 120
Grass Valley, CA 95945
Mailing address
PO Box 874
Penn Valley, CA 95946-0874
Phone (530) 432-9810
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 502202 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1279756800000",
"number": "1467765222",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 874",
"city": "PENN VALLEY",
"state": "CA",
"postal_code": "959460874",
"telephone_number": "530-432-9810"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 CROWN PINT CIRCLE SUITE 120",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "95945",
"telephone_number": "530-265-1437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KESTLER",
"first_name": "KATHRYN",
"middle_name": "LYNN",
"credential": "RN, PHN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-22",
"last_updated": "2010-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "502202",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grass Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.