Active NPI
Kim A Tunstall, CCAPPS-AII060060718
- Addiction (Substance Use Disorder) Counselor
- Hesperia, CA
National Provider Identifier
1710183561
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 11776 Mariposa Rd
Hesperia, CA 92345-1622 - Phone
- (760) 956-2462
- Fax
- (760) 956-7542
- NPI assigned
- Jun 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | CA | Primary |
Addresses
Primary practice location
11776 Mariposa Rd
Hesperia, CA 92345-1622
Mailing address
11776 Mariposa Rd
Hesperia, CA 92345-1622
Phone (760) 956-2462
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101YA0400X | Medicaid | CA |
Other names 1
- Kim A Franklin
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nationwide Medical Group, Inc | 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.
-
- Community Health Clinic/Center
- Stockton, CA
- NPI 1548317951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568332800000",
"number": "1710183561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11776 MARIPOSA RD",
"city": "HESPERIA",
"state": "CA",
"postal_code": "923451622",
"telephone_number": "760-956-2462",
"fax_number": "760-956-7542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11776 MARIPOSA RD",
"city": "HESPERIA",
"state": "CA",
"postal_code": "923451622",
"telephone_number": "760-956-2462",
"fax_number": "760-956-7542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUNSTALL",
"first_name": "KIM",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "CCAPPS-AII060060718",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-26",
"last_updated": "2019-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "101YA0400X",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KIM",
"last_name": "FRANKLIN",
"middle_name": "A",
"credential": "CADAAC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Hesperia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.