Individual provider Active NPI

Kyra Kilmer, NP

  • Family Nurse Practitioner
  • Red Bluff, CA
National Provider Identifier
1619062437
Registry record updated Nov 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95004283 Issued in CA
Practice address
Tehama County Health Services Clinic Divison
1850 Walnut St Suite E
Red Bluff, CA 96080
Phone
(530) 527-0350
Fax
(530) 529-3881
NPI assigned
Oct 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN2259875 MA
Family Nurse Practitioner 363LF0000X RN2259875 MA
Family Nurse Practitioner 363LF0000X NP95004283 CA Primary

Addresses

Primary practice location

Tehama County Health Services Clinic Divison
1850 Walnut St Suite E
Red Bluff, CA 96080

Mailing address

PO Box 400
Red Bluff, CA 96080-0400
Phone (530) 527-0350

Other practice location 1

366 Shrewsbury St
Shrewsbury, MA 01604
Phone (508) 595-2700

Other practice location 2

2200 Tydd St
Eureka, CA 95501-1284
Phone (707) 826-8633

Other names 1

  • Kyra Bass/Turner Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20091013000094 MA Practitioner - Nurse Practitioner 9133172745 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95004283CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic Diagnostic of Massachusetts LLC Family CurrentSince Jul 23, 2009 Accepting new patients
Cloud Health Medical Group, P.a. Past Accepting new patients
Community Care Physicians, PLLC PastSince Dec 1, 2012 Accepting new patients
OB/GYN Health Center Associates, LLP Past Accepting new patients
Cloud Health Medical Group of California, P.C. Past Accepting new patients

Locations

270 Grove St
Braintree, MA 02184
Phone (781) 356-0714

311 Newbury St
Danvers, MA 01923
Phone (978) 605-0100

1025 Central St
Stoughton, MA 02072
Phone 7813416114 ext. 8221

Interoperability endpoints

  • Direct secure messaging: kyra.kilmer@337577483108356.direct.elationemr.com
  • Direct secure messaging: kyra.kilmer.1@19041.direct.athenahealth.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542585600000",
    "number": "1619062437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960800400",
            "telephone_number": "530-527-0350",
            "fax_number": "530-529-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TEHAMA COUNTY HEALTH SERVICES CLINIC DIVISON",
            "address_2": "1850 WALNUT ST SUITE E",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "96080",
            "telephone_number": "530-527-0350",
            "fax_number": "530-529-3881"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "366 Shrewsbury St",
            "address_purpose": "LOCATION",
            "city": "Shrewsbury",
            "state": "MA",
            "postal_code": "01604",
            "country_code": "US",
            "telephone_number": "508-595-2700",
            "fax_number": "774-221-5136",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2200 Tydd St",
            "address_purpose": "LOCATION",
            "city": "Eureka",
            "state": "CA",
            "postal_code": "955011284",
            "country_code": "US",
            "telephone_number": "707-826-8633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KILMER",
        "first_name": "KYRA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2018-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2259875",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN2259875",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95004283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KYRA",
            "last_name": "BASS/TURNER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Red Bluff, CA

Sources for this page

Verify at the official NPI Registry.