Individual provider Active NPI

Kaitlyn Powers, FNP

  • Family Nurse Practitioner
  • Valencia, CA
National Provider Identifier
1871271569
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95025895 Issued in CA
Practice address
27763 Laurel Creek Cir
Valencia, CA 91354-1347
Phone
(661) 670-9337
NPI assigned
Jul 11, 2023
Last updated
Jul 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 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 95025895 CA Primary

Addresses

Primary practice location

27763 Laurel Creek Cir
Valencia, CA 91354-1347

Mailing address

27763 Laurel Creek Cir
Valencia, CA 91354-1347
Phone (661) 670-9337

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
I20230920003091 CA Practitioner - Nurse Practitioner 5991159220 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95025895CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PC Medical Clinic Inc Family CurrentSince Jul 24, 2023 Accepting new patients
Molina Healthcare of California CurrentSince Jul 3, 2024 Accepting new patients
Universal Care CurrentSince Oct 8, 2024 Accepting new patients
Central Health Plan of California, Inc. CurrentSince Oct 8, 2024 Accepting new patients

Locations

1601 W Avenue J
Lancaster, CA 93534
Phone (661) 945-1835

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

27141 Hidaway Ave
Ste 204
Santa Clarita, CA 91351
Phone (661) 397-1177

Interoperability endpoints

  • Direct secure messaging: kpowers17003@direct-prd.molinahealthcare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1689033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1871271569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27763 LAUREL CREEK CIR",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913541347",
            "telephone_number": "661-670-9337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27763 LAUREL CREEK CIR",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913541347",
            "telephone_number": "661-670-9337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWERS",
        "first_name": "KAITLYN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-11",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95025895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

Verify at the official NPI Registry.