Active NPI
Kobi Pflueger, NP
- Nurse Practitioner
- Palo Alto, CA
National Provider Identifier
1871114934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95009918
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 95009918 | Other | CA | CALIFORNIA STATE BOARD OF NURSING |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 95009918 | CA | MD | Nurse Practitioner |
Interoperability endpoints
- 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.