Kathleen Marie Drennan, BSN, MSN, APRN-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

16350 Issued in CA

Practice address

2067 W Vista Way
Vista, CA 92083-6031

Phone

(606) 302-5507

Fax

(760) 726-2305

NPI assigned

Jul 30, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Bachelor on Science - Nursing, Master of Science - Nursing, Nurse Practitioner

State licenses

Practice roles

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.

• California Cancer Associates for Research and Excellence Inc

  • Hematology & Oncology Physician
  • Fresno, CA
  • NPI 1902359425
  NPD (past)
• San Diego Pacific Oncology and Hematology Associates Inc

  • Hematology & Oncology Physician
  • La Jolla, CA
  • NPI 1396780235
  NPD (past)

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

{
    "created_epoch": "1154217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626048000000",
    "number": "1811902661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4409 MAPLE DR",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920563535",
            "telephone_number": "760-295-6739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2067 W VISTA WAY",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920836031",
            "telephone_number": "606-302-5507",
            "fax_number": "760-726-2305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRENNAN",
        "first_name": "KATHLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "BSN, MSN, APRN-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-30",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP16350",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "16350",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "FX085Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "NP16350",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dr. D. Park DDS, Inc.
• Jose A Drago, DDS
• Ruth I Drago, DDS
• Lynne Eldon Drake, PHARM.D.
• Destiny Suzanne Drehs, RAD-T
• Drew Edmund Psychiatric Center
• Sarndra Gaye Dries, LVN
• Linda Kay Droker, LMT
• Lisa Diaz Du
• Grace Marie Dubick

• Family Nurse Practitioner in Vista, CA
• Providers in Vista, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2021; 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.