Individual provider Active NPI

Kylie Nicole Denton, FNP

  • Family Nurse Practitioner
  • Capitola, CA
National Provider Identifier
1487388336
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95021631 Issued in CA
Practice address
4140 Jade St Ste 100
Capitola, CA 95010-3940
Phone
(831) 475-4024
NPI assigned
Jul 14, 2022
Last updated
Jul 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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 95021631 CA Primary

Addresses

Primary practice location

4140 Jade St Ste 100
Capitola, CA 95010-3940

Mailing address

PO Box 31396
Walnut Creek, CA 94598-8396
Phone (209) 712-3904

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
I20220830003414 CA Practitioner - Nurse Practitioner 3274917919 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mogo Urgent CareGroup PAC ID 7810329976, 21 clinicians

Practice addresses (Care Compare)

2020 Del Monte Ave
Suite B
Monterey, CA 93940-2401
Phone (831) 625-4500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Golden State Orthopedics & Spine CurrentSince Jul 18, 2022 Accepting new patients
Mogo Urgent Care CurrentSince Aug 12, 2023 Accepting new patients
Golden State Orthopedics & Spine CurrentSince Jul 18, 2022 Accepting new patients
Golden State Orthopedics & Spine Past Accepting new patients
California Sports Physical Therapy Centers Inc Past Accepting new patients

Locations

4140 Jade St
Ste 100
Capitola, CA 95010
Phone (831) 475-4024

2020 Del Monte Ave
Ste B
Monterey, CA 93940
Phone (831) 622-6930

2405 Shadelands Dr
Walnut Creek, CA 94598
Phone (615) 930-0820

1066 S Green Valley Rd
Watsonville, CA 95076
Phone (831) 722-1444

Interoperability endpoints

  • Direct secure messaging: kylie.denton.p1@direct.muirortho.nextgenshare.com
  • Direct secure messaging: kylie.denton.p1@direct.orthonorcal.nextgenshare.com
  • Direct secure messaging: kylie.denton.p2@direct.muirortho.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1487388336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31396",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945988396",
            "telephone_number": "209-712-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4140 JADE ST STE 100",
            "city": "CAPITOLA",
            "state": "CA",
            "postal_code": "950103940",
            "telephone_number": "831-475-4024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENTON",
        "first_name": "KYLIE",
        "middle_name": "NICOLE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95021631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Capitola, CA

Sources for this page

Verify at the official NPI Registry.