Active NPI
Katherine Anne Hylan, NP
- Nurse Practitioner
- Oceanside, CA
National Provider Identifier
1538516240
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95005707
- Practice address
- 4629 Calle de Casitas
Oceanside, CA 92057-5211 - Phone
- (760) 736-6703
- NPI assigned
- May 23, 2016
- Last updated
- Dec 4, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95005707 | CA | Primary |
| Midwife | 176B00000X | 235794 | CA |
Addresses
Primary practice location
4629 Calle de Casitas
Oceanside, CA 92057-5211
Mailing address
4629 Calle de Casitas
Oceanside, CA 92057-5211
Phone (760) 736-6703
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 235794 | CA | MD | Midwife |
| 95005707 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tiburcio Vasquez Health Center, Inc. | Current | Accepting new patients | |
| Tiburcio Vasquez Health Center, Inc. | Current | Accepting new patients | |
| Rivello Podiatry | Current | Accepting new patients | |
| Tiburcio Vasquez Health Center, Inc. | Current | Accepting new patients | |
| Tiburcio Vasquez Health Center, Inc. | Current | Accepting new patients |
Locations
1535 N China Lake Blvd
Ste B
Ridgecrest, CA 93555
Phone (661) 945-8717
33255 9th St
Union City, CA 94587
Phone (510) 690-6052
Interoperability endpoints
- katherine.hylan.p1@direct.cdsdp.nextgenshare.com
- khylan584023@direct.ochin.org
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.
-
- Foot & Ankle Surgery Podiatrist
- Visalia, CA
- NPI 1558193441
-
- Federally Qualified Health Center (FQHC)
- Hayward, CA
- NPI 1144519703
-
- Federally Qualified Health Center (FQHC)
- Hayward, CA
- NPI 1407373921
-
- Federally Qualified Health Center (FQHC)
- Hayward, CA
- NPI 1790256808
-
- Federally Qualified Health Center (FQHC)
- Union City, CA
- NPI 1851389696
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463961600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575417600000",
"number": "1538516240",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4629 CALLE DE CASITAS",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920575211",
"telephone_number": "760-736-6703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4629 CALLE DE CASITAS",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920575211",
"telephone_number": "760-736-6703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYLAN",
"first_name": "KATHERINE",
"middle_name": "ANNE",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-23",
"last_updated": "2019-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95005707",
"primary": true
},
{
"code": "176B00000X",
"taxonomy_group": "",
"desc": "Midwife",
"state": "CA",
"license": "235794",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2019; 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.