Active NPI
Kathleen Boyer Gilfillan, CRNA
- Certified Registered Nurse Anesthetist
- Paradise, CA
National Provider Identifier
1710066766
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 258082
- Practice address
- 6283 Clark Rd Ste 10
Paradise, CA 95969-4100 - Phone
- (530) 877-2020
- Fax
- (530) 877-4641
- NPI assigned
- Nov 2, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 258082 | CA | Primary |
Addresses
Primary practice location
6283 Clark Rd Ste 10
Paradise, CA 95969-4100
Mailing address
215 Oak Brook CT
Auburn, CA 95602-7631
Phone (530) 878-6860
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3 RN2580820 | Medicaid | CA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 160 | CA | MD | Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the Univ of Ca | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Diagnostic Radiology Physician
- Sacramento, CA
- NPI 1477546406
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236816000000",
"number": "1710066766",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "215 OAK BROOK CT",
"city": "AUBURN",
"state": "CA",
"postal_code": "956027631",
"telephone_number": "530-878-6860",
"fax_number": "530-878-6861"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6283 CLARK RD STE 10",
"city": "PARADISE",
"state": "CA",
"postal_code": "959694100",
"telephone_number": "530-877-2020",
"fax_number": "530-877-4641"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILFILLAN",
"first_name": "KATHLEEN",
"middle_name": "BOYER",
"name_prefix": "Mrs.",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-02",
"last_updated": "2009-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "258082",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3 RN2580820",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Paradise, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.