Individual provider Active NPI

Kathleen Rae Colvin

  • Nurse Practitioner
  • Willows, CA
National Provider Identifier
1881555472
Registry record updated Jul 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95039019 Issued in CA
Practice address
263 N Villa Ave
Willows, CA 95988-2607
Phone
(530) 934-8700
NPI assigned
Nov 21, 2025
Last updated
Jul 31, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95039019 CA Primary

Addresses

Primary practice location

263 N Villa Ave
Willows, CA 95988-2607

Mailing address

2710 Gateway Oaks Dr
Sacramento, CA 95833-3505
Phone (916) 646-2770

Other practice location 1

19 Ilahee Ln
Chico, CA 95973-7205
Phone (530) 487-7111

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

State licenses

LicenseStateTypeSpecialty
95039019CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Joanne E Reid MD Inc Past Accepting new patients
Rebecca R Boening MD Inc PastSince Sep 10, 2023 Accepting new patients

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, 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": "1763683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785456000000",
    "number": "1881555472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2710 GATEWAY OAKS DR",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958333505",
            "telephone_number": "916-646-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 N VILLA AVE",
            "city": "WILLOWS",
            "state": "CA",
            "postal_code": "959882607",
            "telephone_number": "530-934-8700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19 Ilahee Ln",
            "address_purpose": "LOCATION",
            "city": "Chico",
            "state": "CA",
            "postal_code": "959737205",
            "country_code": "US",
            "telephone_number": "530-487-7111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLVIN",
        "first_name": "KATHLEEN",
        "middle_name": "RAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-21",
        "last_updated": "2026-07-31",
        "certification_date": "2026-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95039019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willows, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.