Individual provider Active NPI

Kaylee Anderson, NP

  • Family Nurse Practitioner
  • San Francisco, CA
National Provider Identifier
1528870045
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95032285 Issued in CA
Practice address
2340 Clay St
San Francisco, CA 94115-1932
Phone
(415) 674-5200
NPI assigned
Jan 22, 2025
Last updated
Jan 22, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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 95032285 CA Primary

Addresses

Primary practice location

2340 Clay St
San Francisco, CA 94115-1932

Mailing address

36 Copenhagen CT
Alamo, CA 94507-2248
Phone (925) 389-0820

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
I20250627000556 CA Practitioner - Nurse Practitioner 2466965132 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Heights Medical Group CurrentSince Apr 11, 2025 Accepting new patients
Dr. Sudhakar Tumuluri, P.C. CurrentSince Jan 26, 2025 Accepting new patients
Sutter West Bay Medical Foundation PastSince Jan 26, 2025 Accepting new patients

Locations

2340 Clay St
San Francisco, CA 94115
Phone (415) 433-7945

2340 Clay St
Fl 6
San Francisco, CA 94115
Phone (415) 600-3700

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23254/brand/2/csg/1/fhir/r4
  • Direct secure messaging: kaylee.anderson.1@23254.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1737504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737504000000",
    "number": "1528870045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 COPENHAGEN CT",
            "city": "ALAMO",
            "state": "CA",
            "postal_code": "945072248",
            "telephone_number": "925-389-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 CLAY ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941151932",
            "telephone_number": "415-674-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "KAYLEE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-22",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95032285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.