Individual provider Active NPI

Brenda D Kent, F.N.P.C

  • Family Nurse Practitioner
  • Visalia, CA
National Provider Identifier
1568517514
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP14895 Issued in CA
Practice address
306 N Conyer St
Visalia, CA 93291-4704
Phone
(559) 713-1101
Fax
(559) 713-1121
NPI assigned
Jan 23, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 NP14895 CA Primary

Addresses

Primary practice location

306 N Conyer St
Visalia, CA 93291-4704

Mailing address

306 N Conyer St
Visalia, CA 93291-4704
Phone (559) 713-1101

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
I20050104000350 CA Practitioner - Nurse Practitioner 3971551292 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP14895CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gaylene J. Soloniuk-Tays, M.D., a Professional Corporation CurrentSince Sep 1, 2004 Accepting new patients

Locations

306 N Conyer St
Visalia, CA 93291
Phone (559) 707-3194

Organizations & group practices 1

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568517514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 N CONYER ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914704",
            "telephone_number": "559-713-1101",
            "fax_number": "559-713-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 N CONYER ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914704",
            "telephone_number": "559-713-1101",
            "fax_number": "559-713-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENT",
        "first_name": "BRENDA",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "F.N.P.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP14895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.