Individual provider Active NPI

Dustin Chase Hollingsead, FNP

  • Family Nurse Practitioner
  • Bakersfield, CA
National Provider Identifier
1871206235
Registry record updated Jan 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95023771 Issued in CA
Practice address
8914 Coney Island Dr
Bakersfield, CA 93311-8800
Phone
(661) 426-3575
NPI assigned
Jan 2, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95023771 CA Primary

Addresses

Primary practice location

8914 Coney Island Dr
Bakersfield, CA 93311-8800

Mailing address

8914 Coney Island Dr
Bakersfield, CA 93311-8800
Phone (661) 426-3575

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240610001313 CA Practitioner - Nurse Practitioner 1850833518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Nephrology Group IncGroup PAC ID 4688767262, 50 clinicians

Practice addresses (Care Compare)

3933 Coffee Rd
B
Bakersfield, CA 93308-5024
Phone (559) 228-6600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Nephrology Group, Inc. Clinical Lab CurrentSince Jun 1, 2024 Accepting new patients
The Nephrology Group, Inc. Current Accepting new patients

Locations

3933 Coffee Rd
#B
Bakersfield, CA 93308
Phone (661) 588-9999

432 Lexington St
#A
Delano, CA 93215
Phone (661) 375-5871

568 E Herndon Ave
Ste 201
Fresno, CA 93720
Phone (559) 228-9660

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1672617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672617600000",
    "number": "1871206235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8914 CONEY ISLAND DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933118800",
            "telephone_number": "661-426-3575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8914 CONEY ISLAND DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933118800",
            "telephone_number": "661-426-3575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLINGSEAD",
        "first_name": "DUSTIN",
        "middle_name": "CHASE",
        "name_prefix": "Mr.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-02",
        "last_updated": "2023-01-02",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95023771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.