Kristen Cantwell, FNP-BC – Family Nurse Practitioner

Key facts

NPI: 1891003430
Entity type: Individual (NPI type 1)
Primary specialty: Family Nurse Practitioner 363LF0000X
License: 95000666 (CA)
Practice address: 690 Otay Lakes Rd
Suite 110
Chula Vista, CA 91910-8904
Phone: (619) 421-0444
NPI assigned: Sep 16, 2010
Sex: Female
Sole proprietor: No

Organizations & group practices 1

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.

Express Health Clinic Corporation Urgent Care Clinic/Center · Jefferson City, TN · NPI 1336189158

NPD (past)

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
95000666	CA	MD	Certified Registered Nurse Anesthetist

Practice roles

Organization	Specialty	Status	New patients
Express Health Clinic Corporation		Past since Sep 19, 2012	Accepting new patients

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Family Nurse Practitioner	363LF0000X	15093	TN
Family Nurse Practitioner	363LF0000X	95000666	CA	Yes

Addresses

Primary practice location

690 Otay Lakes Rd
Suite 110
Chula Vista, CA 91910-8904

Mailing address

690 Otay Lakes Rd
Suite 110
Chula Vista, CA 91910-8904

Other names

Kristen Nash Former name

Other providers in Chula Vista, CA

All providers in Chula Vista, CA · Family Nurse Practitioner in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 25, 2016. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.