Active NPI
Kathleen Brandt, FNP
- Family Nurse Practitioner
- Yreka, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95024536
- Practice address
- 475 Bruce St
Yreka, CA 96097-3474 - Phone
- (530) 842-3507
- NPI assigned
- Mar 8, 2023
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95024536 | CA | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | 95024536 | CA |
Addresses
Primary practice location
475 Bruce St
Yreka, CA 96097-3474
Mailing address
PO Box 1100
Gualala, CA 95445-1100
Phone (707) 884-9434
Other practice location 1
46900 Ocean View Dr
Gualala, CA 95445-8458
Phone (707) 884-9434
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
475 Bruce St
Yreka, CA 96097-3474
Phone (530) 842-4121
Hospital & facility affiliations
- Fairchild Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Siskiyou Hospital, Inc. | Current | Accepting new patients |
Locations
475 Bruce St
Yreka, CA 96097
Phone (530) 842-3507
444 Bruce St
Yreka, CA 96097
Phone (530) 841-6256
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.
-
- Critical Access Hospital
- Yreka, CA
- NPI 1093892275
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Yreka, CA
- NPI 1093892275
-
- Critical Access Hospital
- Yreka, CA
- NPI 1952701369
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1678233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781827200000",
"number": "1841990603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1100",
"city": "GUALALA",
"state": "CA",
"postal_code": "954451100",
"telephone_number": "707-884-9434"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 BRUCE ST",
"city": "YREKA",
"state": "CA",
"postal_code": "960973474",
"telephone_number": "530-842-3507"
}
],
"practiceLocations": [
{
"address_1": "46900 Ocean View Dr",
"address_purpose": "LOCATION",
"city": "Gualala",
"state": "CA",
"postal_code": "954458458",
"country_code": "US",
"telephone_number": "707-884-9434",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRANDT",
"first_name": "KATHLEEN",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-08",
"last_updated": "2026-06-19",
"certification_date": "2026-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95024536",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "CA",
"license": "95024536",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Yreka, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.