Kathryn Sarah Axsom, APN

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

95003849 Issued in CA

Practice address

3801 Miranda Ave
HBPC MB3-323
Palo Alto, CA 94304

Phone

(650) 493-5000

Fax

(650) 858-8905

NPI assigned

Oct 26, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1445817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1487026795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 MIRANDA AVE",
            "address_2": "HBPC MB3-323",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94304",
            "telephone_number": "650-493-5000",
            "fax_number": "650-858-8905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 MIRANDA AVE",
            "address_2": "HBPC MB3-323",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94304",
            "telephone_number": "650-493-5000",
            "fax_number": "650-858-8905"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13663 Mono Way",
            "address_purpose": "LOCATION",
            "city": "Sonora",
            "state": "CA",
            "postal_code": "953702811",
            "country_code": "US",
            "telephone_number": "209-588-2603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AXSOM",
        "first_name": "KATHRYN",
        "middle_name": "SARAH",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-26",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95003849",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wendy Avelar
• Jonathan Tiago Avila, M.D.
• Rania Awaad, MD
• Awakenmd PC
• David Michael Axelrod, M.D.
• Tandy Aye, MD
• Eve Ariel Ayeroff, MD
• Ruthie Maryanne Ayzenberg
• Dan Elison Azagury, M.D.
• Azeem K. Lakha, DMD, a.P.C.

• Primary Care Nurse Practitioner in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Primary Care Nurse Practitioner in California

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.