Individual provider Active NPI

Krista Prewett, FNP

  • Adult Medicine Physician
  • Anaheim, CA
National Provider Identifier
1619513611
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
95012088 Issued in CA
Practice address
3460 E la Palma Ave
Anaheim, CA 92806-2020
Phone
(949) 932-5133
NPI assigned
Nov 25, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95012088 CA
Adult Medicine Physician 207QA0505X 95012088 CA Primary

Addresses

Primary practice location

3460 E la Palma Ave
Anaheim, CA 92806-2020

Mailing address

6670 Alton Pkwy
Irvine, CA 92618-3734
Phone (949) 932-5133

Other practice location 1

6670 Alton Pkwy
Irvine, CA 92618
Phone (949) 932-5133

Other practice location 2

17817 Santiago Blvd Ste 206
Villa Park, CA 92861-4133
Phone (714) 974-1362

Other practice location 3

6640 Alton Pkwy
Irvine, CA 92618-3734
Phone (949) 932-5133

Other practice location 4

200 N Lewis St
Orange, CA 92868-1538
Phone (949) 932-5133

Other names 1

  • Krista McKinney Former name

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
I20200813002278 CA Practitioner - Nurse Practitioner 6103242755 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95012088CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Global Transitional Care, LLC CurrentSince Jul 29, 2020 Accepting new patients

Locations

5161 California Ave
Ste 200
Irvine, CA 92617
Phone (949) 543-0124

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1619513611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6670 ALTON PKWY",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183734",
            "telephone_number": "949-932-5133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3460 E LA PALMA AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928062020",
            "telephone_number": "949-932-5133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6670 Alton Pkwy",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "92618",
            "country_code": "US",
            "telephone_number": "949-932-5133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17817 Santiago Blvd Ste 206",
            "address_purpose": "LOCATION",
            "city": "Villa Park",
            "state": "CA",
            "postal_code": "928614133",
            "country_code": "US",
            "telephone_number": "714-974-1362",
            "fax_number": "714-974-3145",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6640 Alton Pkwy",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926183734",
            "country_code": "US",
            "telephone_number": "949-932-5133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 N Lewis St",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928681538",
            "country_code": "US",
            "telephone_number": "949-932-5133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PREWETT",
        "first_name": "KRISTA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-25",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95012088",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "95012088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTA",
            "last_name": "MCKINNEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

Verify at the official NPI Registry.