Organization Active NPI

Erase Haus Advanced Practice Nursing Corporation

  • Clinic/Center
  • Modesto, CA
National Provider Identifier
1619898442
Registry record updated Jul 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
ERASE HAUS ADVANCED PRACTICE NURSING CORPORATION
Practice address
1601 McHenry Village Way Ste 5
Modesto, CA 95350-4338
Phone
(209) 620-3216
NPI assigned
Jul 25, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2026

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

Authorized official

Name
Kirstin Bray, FNP-C
Title
Owner
Phone
(209) 481-8634

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1601 McHenry Village Way Ste 5
Modesto, CA 95350-4338

Mailing address

1601 McHenry Village Way Ste 5
Modesto, CA 95350-4338
Phone (209) 620-3216

National Provider Directory

National Provider Directory

Locations

1601 McHenry Village Way
Ste 5
Modesto, CA 95350

NPI Registry JSON

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

{
    "created_epoch": "1784937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784937600000",
    "number": "1619898442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MCHENRY VILLAGE WAY STE 5",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504338",
            "telephone_number": "209-620-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 MCHENRY VILLAGE WAY STE 5",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504338",
            "telephone_number": "209-620-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERASE HAUS ADVANCED PRACTICE NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-25",
        "last_updated": "2026-07-25",
        "certification_date": "2026-07-25",
        "status": "A",
        "authorized_official_last_name": "BRAY",
        "authorized_official_first_name": "KIRSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-481-8634",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2026; 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.