Individual provider Active NPI

Kay Marie Anthony, RNP-C

  • Obstetrics & Gynecology Nurse Practitioner
  • Long Beach, CA
National Provider Identifier
1871769273
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
455355 Issued in CA
Practice address
400 W Broadway
Long Beach, CA 90802-4401
Phone
(562) 570-7113
NPI assigned
May 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse Practitioner 363LW0102X 455355 CA
Obstetrics & Gynecology Nurse Practitioner 363LX0001X 455355 CA Primary

Addresses

Primary practice location

400 W Broadway
Long Beach, CA 90802-4401

Mailing address

1803 Ostrom Ave
Long Beach, CA 90815-3647
Phone (562) 773-5645

Other names 1

  • Kay Marie Herrington Former name

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
I20220426001982 CA Order and Referring Only - Nurse Practitioner 0648667451

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1210032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1871769273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1803 OSTROM AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908153647",
            "telephone_number": "562-773-5645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W BROADWAY",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024401",
            "telephone_number": "562-570-7113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTHONY",
        "first_name": "KAY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-06",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CA",
            "license": "455355",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "CA",
            "license": "455355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAY",
            "last_name": "HERRINGTON",
            "middle_name": "MARIE",
            "credential": "RNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.