Individual provider Active NPI

Deborah Kaley, RN

  • Pediatric Registered Nurse
  • Emeryville, CA
National Provider Identifier
1689108805
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Registered NurseTaxonomy code 163WP0200X
License
RN340172 Issued in CA
Practice address
6121 Hollis St Ste 2
Emeryville, CA 94608-2078
Phone
(844) 724-4140
Fax
(510) 457-4236
NPI assigned
Apr 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Registered Nurse 163WP0200X RN340172 CA Primary

Addresses

Primary practice location

6121 Hollis St Ste 2
Emeryville, CA 94608-2078

Mailing address

6121 Hollis St Ste 2
Emeryville, CA 94608-2078
Phone (844) 724-4140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN340172CAMDPediatric Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492041600000",
    "number": "1689108805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6121 HOLLIS ST STE 2",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946082078",
            "telephone_number": "844-724-4140",
            "fax_number": "510-457-4236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 HOLLIS ST STE 2",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946082078",
            "telephone_number": "844-724-4140",
            "fax_number": "510-457-4236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALEY",
        "first_name": "DEBORAH",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-13",
        "last_updated": "2017-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "CA",
            "license": "RN340172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emeryville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; 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.