Active NPI
Kyra Kilmer, NP
- Family Nurse Practitioner
- Red Bluff, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP95004283
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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 |
|---|---|---|---|
| NP95004283 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Minuteclinic Diagnostic of Massachusetts LLC | Family | Current | Accepting new patients |
| Cloud Health Medical Group, P.a. | Past | Accepting new patients | |
| Community Care Physicians, PLLC | Past | 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
- kyra.kilmer@337577483108356.direct.elationemr.com
- 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.
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- NPI 1194404327
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- NPI 1528744935
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- Internal Medicine Physician
- Latham, NY
- NPI 1922048370
-
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- Troy, NY
- NPI 1134144298
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2018; 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.