Individual provider Active NPI

Kirandeep Kaur, FNP-C

  • Family Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1699549014
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95030376 Issued in CA
Practice address
4813 Coffee Rd Ste 200
Bakersfield, CA 93308-9473
Phone
(661) 664-0252
Fax
(661) 664-2717
NPI assigned
Nov 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Nurse Practitioner 363LF0000X 95030376 CA Primary

Addresses

Primary practice location

4813 Coffee Rd Ste 200
Bakersfield, CA 93308-9473

Mailing address

PO Box 1139
Bakersfield, CA 93302-1139
Phone (661) 371-2796

Other practice location 1

9001 Stockdale Hwy
Bakersfield, CA 93311-1022
Phone (661) 654-2505

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
I20241031003136 CA Practitioner - Nurse Practitioner 7911430780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centric HealthGroup PAC ID 8729009030, 66 clinicians

Practice addresses (Care Compare)

4813 Coffee Rd
Suite 200
Bakersfield, CA 93308-9473
Phone (661) 664-0252

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95030376CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Centric Health CurrentSince Oct 21, 2024 Accepting new patients
Centric Health Current Accepting new patients

Locations

4813 Coffee Rd
Ste 200
Bakersfield, CA 93308
Phone (661) 664-0252

2901 Sillect Ave
Ste 100
Bakersfield, CA 93308
Phone (805) 323-8384

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

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": "1699315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1699549014",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1139",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933021139",
            "telephone_number": "661-371-2796",
            "fax_number": "661-438-1746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4813 COFFEE RD STE 200",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933089473",
            "telephone_number": "661-664-0252",
            "fax_number": "661-664-2717"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9001 Stockdale Hwy",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933111022",
            "country_code": "US",
            "telephone_number": "661-654-2505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAUR",
        "first_name": "KIRANDEEP",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-07",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95030376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.