Individual provider Active NPI

Kinzi Hussein Richholt, RN

  • Administrator Registered Nurse
  • Oakland, CA
National Provider Identifier
1760104533
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
378703 Issued in CA
Practice address
2000 Embarcadero Ste 400
Oakland, CA 94606-5300
Phone
(510) 383-8580
Fax
(866) 859-0392
NPI assigned
Sep 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 378703 CA Primary

Addresses

Primary practice location

2000 Embarcadero Ste 400
Oakland, CA 94606-5300

Mailing address

2000 Embarcadero Ste 400
Oakland, CA 94606-5300
Phone (510) 383-8580

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
378703CAMDAdministrator Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1663286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1760104533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 EMBARCADERO STE 400",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946065300",
            "telephone_number": "510-383-8580",
            "fax_number": "866-859-0392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 EMBARCADERO STE 400",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946065300",
            "telephone_number": "510-383-8580",
            "fax_number": "866-859-0392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICHHOLT",
        "first_name": "KINZI",
        "middle_name": "HUSSEIN",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-16",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "CA",
            "license": "378703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2022; 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.