Individual provider Active NPI

Kobi Pflueger, NP

  • Nurse Practitioner
  • Palo Alto, CA
National Provider Identifier
1871114934
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95009918 Issued in CA
Practice address
855 El Camino Real Ste 95
Palo Alto, CA 94301-2341
Phone
(650) 327-6122
NPI assigned
Apr 29, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95009918 CA Primary

Addresses

Primary practice location

855 El Camino Real Ste 95
Palo Alto, CA 94301-2341

Mailing address

60 Vintage Cir Unit 109
Pleasanton, CA 94566-6419
Phone (469) 693-1021

Other identifiers 1

IdentifierTypeStateIssuer
95009918OtherCACALIFORNIA STATE BOARD OF NURSING

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Kobi@awakenmd.com Other

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95009918CAMDNurse Practitioner

Interoperability endpoints

  • Direct secure messaging: kobi@awakenmd.com

NPI Registry JSON

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

{
    "created_epoch": "1588118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1871114934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 VINTAGE CIR UNIT 109",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945666419",
            "telephone_number": "469-693-1021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 EL CAMINO REAL STE 95",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012341",
            "telephone_number": "650-327-6122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFLUEGER",
        "first_name": "KOBI",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-29",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95009918",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA STATE BOARD OF NURSING",
            "identifier": "95009918",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kobi@awakenmd.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "General Email and Contact Use",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Not HIPAA secure",
            "address_1": "855 El Camino Real Ste 95",
            "city": "Palo Alto",
            "state": "CA",
            "country_code": "US",
            "postal_code": "943012341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palo Alto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.