Individual provider Active NPI

Holly Jean Kirkland-Kyhn

  • Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1700865151
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
7715 Issued in CA
Practice address
2315 Stockton Blvd
Davis 6
Sacramento, CA 95817-2201
Phone
(916) 703-7143
Fax
(916) 703-7144
NPI assigned
Jan 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 7715 CA Primary

Addresses

Primary practice location

2315 Stockton Blvd
Davis 6
Sacramento, CA 95817-2201

Mailing address

3644 Voleyn St
Carmichael, CA 95608-2863
Phone (916) 508-1963

Other names 1

  • Holly Jean Kirkland-Kyhn Professional 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
I20091118000655 CA Practitioner - Nurse Practitioner 9739227364 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7715CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group Inc Current Accepting new patients
Regents of the Univ of Ca CurrentSince Aug 22, 2018 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
County of Sacramento CurrentSince Apr 22, 2023 Accepting new patients
Permanente Medical Group Inc CurrentSince Apr 12, 2014 Accepting new patients
Regents of the Univ of Ca CurrentSince Aug 22, 2018 Accepting new patients
County of Sacramento CurrentSince Apr 22, 2023 Accepting new patients
Permanente Medical Group, Inc CurrentSince Apr 12, 2014 Accepting new patients

Locations

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

3301 C St
Sacramento, CA 95816
Phone (916) 734-6111

2315 Stockton Blvd
#6
Sacramento, CA 95817
Phone (916) 703-7143

4600 Broadway
Sacramento, CA 95820
Phone (916) 874-9670

4600 Broadway
Ste 2500
Sacramento, CA 95820

4600 Broadway
#1100
Sacramento, CA 95820
Phone (916) 874-9670

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

Interoperability endpoints

  • Direct secure messaging: hkirklandkyhn634563@direct.ochin.org

Organizations & group practices 8

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": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1700865151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3644 VOLEYN ST",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956082863",
            "telephone_number": "916-508-1963",
            "fax_number": "916-973-5820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 STOCKTON BLVD",
            "address_2": "DAVIS 6",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172201",
            "telephone_number": "916-703-7143",
            "fax_number": "916-703-7144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKLAND-KYHN",
        "first_name": "HOLLY",
        "middle_name": "JEAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-13",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "7715",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "KIRKLAND-KYHN",
            "middle_name": "JEAN",
            "credential": "NURSE PRACTITIONER",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.