Mary Kern, CNM, FNP-C

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

Practice address

23141 Moulton Pkwy Ste 108
Laguna Hills, CA 92653

Phone

(949) 215-7575

NPI assigned

Aug 30, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Planned Parenthood Pasadena and San Gabriel Valley Inc

  dba Planned Parenthood Pasadena

  • Community Health Clinic/Center
  • Pasadena, CA
  • NPI 1073669040
  Medicare reassignment NPD
• Planned Parenthood Pasadena and San Gabriel Valley Inc

  dba Planned Parenthood Highland Park

  • Community Health Clinic/Center
  • Highland Park, CA
  • NPI 1407406630
  NPD
• Planned Parenthood Pasadena and San Gabriel Valley Inc

  dba Planned Parenthood Pasadena - Alhambra

  • Community Health Clinic/Center
  • Alhambra, CA
  • NPI 1861636177
  NPD (past)

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

{
    "created_epoch": "1504051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532908800000",
    "number": "1659899664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23141 MOULTON PKWY STE 108",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531241",
            "telephone_number": "949-215-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23141 MOULTON PKWY STE 108",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "92653",
            "telephone_number": "949-215-7575"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1119 Pacific Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950604464",
            "country_code": "US",
            "telephone_number": "831-460-3122",
            "fax_number": "831-425-0106",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KERN",
        "first_name": "MARY",
        "credential": "CNM, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-30",
        "last_updated": "2018-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95007186",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "74780",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Portnoff, M.D., Inc.
• Ata Kelly, L.AC., MD
• Kylene Kelly, ED.D.C.P.
• Shawna Kemp, OTR
• Kristen Kempiak, OTA
• Emily Kerr, LCSW
• Makenna Rose Kerr
• Diana H. Kersten, M.D.
• Kevin G Waldron MD Faans Apc
• Kareena Kevork, DDS

• Advanced Practice Midwife in Laguna Hills, CA
• Providers in Laguna Hills, CA by specialty
• Advanced Practice Midwife in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.

Verify at the official NPI Registry.