Individual provider Active NPI

Margaret Kenneth

  • Family Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1871944371
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95004402 Issued in CA
Practice address
4625 61St St
Sacramento, CA 95820-4233
Phone
(916) 717-8435
NPI assigned
Jun 27, 2016
Last updated
Jun 27, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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 95004402 CA Primary

Addresses

Primary practice location

4625 61St St
Sacramento, CA 95820-4233

Mailing address

4625 61St St
Sacramento, CA 95820-4233
Phone (916) 717-8435

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
I20160915001314 CA Practitioner - Nurse Practitioner 2961798095 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians

Practice addresses (Care Compare)

2221 Stockton Blvd
Sacramento, CA 95817-1418
Phone (916) 734-3761

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95004402CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lincoln Medical Associates, Inc. CurrentSince Aug 1, 2017 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Cep America - California Current Accepting new patients
Elk Grove Urgent Care Inc CurrentSince Aug 1, 2017 Accepting new patients
Regents of the Univ of Ca CurrentSince Jul 24, 2023 Accepting new patients
Regents of the Univ of Ca CurrentSince Jul 24, 2023 Accepting new patients
Capitol Urgent Care Inc CurrentSince Aug 1, 2017 Accepting new patients
Cep America-California CurrentSince Aug 1, 2016 Accepting new patients
Cep America - California CurrentSince Aug 1, 2016 Accepting new patients
Folsom Urgent Care Inc CurrentSince Aug 1, 2017 Accepting new patients

Locations

9045 Bruceville Rd
Ste 100
Elk Grove, CA 95758
Phone (916) 479-9110

1600 Creekside Dr
Ste 1400
Folsom, CA 95630
Phone (916) 984-8244

841 Sterling Pkwy
Ste 120
Lincoln, CA 95648
Phone (916) 645-3388

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 900-3125

1 Medical Plaza Dr
Roseville, CA 95661
Phone (916) 781-1000

2221 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-2680

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

4860 Y St
Ste 2100
Sacramento, CA 95817
Phone (916) 734-3800

4868 X St
Sacramento, CA 95817
Phone (916) 703-1503

4868 X St
Ste 4E
Sacramento, CA 95817
Phone (916) 703-1503

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

7200 S Land Park Dr
Ste 100
Sacramento, CA 95831
Phone (916) 422-9110

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466985600000",
    "number": "1871944371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 61ST ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958204233",
            "telephone_number": "916-717-8435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 61ST ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958204233",
            "telephone_number": "916-717-8435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNETH",
        "first_name": "MARGARET",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95004402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.