Individual provider Active NPI

Kristina Hill Fife, FNP-BC

  • Family Nurse Practitioner
  • Laguna Hills, CA
National Provider Identifier
1740013283
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95028841 Issued in CA
Practice address
24422 Avenida de la Carlota Ste 130
Laguna Hills, CA 92653-3618
Phone
(949) 313-8740
NPI assigned
Aug 21, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95028841 CA Primary

Addresses

Primary practice location

24422 Avenida de la Carlota Ste 130
Laguna Hills, CA 92653-3618

Mailing address

24422 Avenida de la Carlota Ste 130
Laguna Hills, CA 92653-3618
Phone (949) 313-8740

Other practice location 1

2651 Irvine Ave Ste 130
Costa Mesa, CA 92627-4628
Phone (949) 313-8740

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

State licenses

LicenseStateTypeSpecialty
95028841CAMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1724198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1740013283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24422 AVENIDA DE LA CARLOTA STE 130",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533618",
            "telephone_number": "949-313-8740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24422 AVENIDA DE LA CARLOTA STE 130",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533618",
            "telephone_number": "949-313-8740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2651 Irvine Ave Ste 130",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926274628",
            "country_code": "US",
            "telephone_number": "949-313-8740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIFE",
        "first_name": "KRISTINA",
        "middle_name": "HILL",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95028841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.