Kristen Mackenzie Van Scharrel, RN, CNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

95001532 Issued in CA

Practice address

300 Old River Rd
Suite 105
Bakersfield, CA 93311-9503

Phone

(661) 663-4700

Fax

(661) 663-4740

NPI assigned

Jul 10, 2013

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: kvanscharrel77443@valleychildrens-prd.direct-ci.com

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.

• Valley Children'S Medical Group

  • Pediatrics Physician
  • Modesto, CA
  • NPI 1437555265
  NPD (past)

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

{
    "created_epoch": "1373414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1619318342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24422 AVENIDA DE LA CARLOTA STE 300",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533628",
            "telephone_number": "949-599-2434",
            "fax_number": "949-599-2430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 OLD RIVER RD",
            "address_2": "SUITE 105",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933119503",
            "telephone_number": "661-663-4700",
            "fax_number": "661-663-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN SCHARREL",
        "first_name": "KRISTEN",
        "middle_name": "MACKENZIE",
        "credential": "RN, CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-10",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "CA",
            "license": "95001532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rhonda Carol Van Cleve, LCSW
• Charles Joseph Van de Voorde
• Kristine Elizabeth Van Every
• Jo Van Horn, MSN; NP-C
• Amanda Van Pelt
• Dalis Van Scoy
• Julie Van Tassel
• Barbara Van-Dyck, ASW
• Thien Hieu Van, M.D.
• Janae Leanne Vance, O.D.

• Pediatric Nurse Practitioner in Bakersfield, CA
• Providers in Bakersfield, CA by specialty
• Pediatric Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.