Active NPI
Kelly Cross
- Health Educator
- Palm Desert, CA
National Provider Identifier
1851762967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- 19056
- Practice address
- 43585 Monterey Ave Ste 8
Palm Desert, CA 92260-9400 - Phone
- (760) 831-1355
- NPI assigned
- Oct 14, 2015
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Community Health Worker | 172V00000X | |||
| Health Educator | 174H00000X | 19056 | CA | Primary |
Addresses
Primary practice location
43585 Monterey Ave Ste 8
Palm Desert, CA 92260-9400
Mailing address
72286 Desert Dr
Rancho Mirage, CA 92270-4918
Phone (760) 831-1355
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19056 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445817600000",
"number": "1851762967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "72286 DESERT DR",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922704918",
"telephone_number": "760-831-1355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "43585 MONTEREY AVE STE 8",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922609400",
"telephone_number": "760-831-1355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CROSS",
"first_name": "KELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-14",
"last_updated": "2015-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "CA",
"license": "19056",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.