Active NPI
Kiersten Anne Macleod Wells, CPNP
- Pediatric Nurse Practitioner
- Campbell, CA
National Provider Identifier
1891808838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- NPF 12830
- Practice address
- 701 Duncanville CT
Campbell, CA 95008-3145 - Phone
- (408) 626-9931
- NPI assigned
- Aug 16, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | NPF 12830 | CA | Primary |
Addresses
Primary practice location
701 Duncanville CT
Campbell, CA 95008-3145
Mailing address
701 Duncanville CT
Campbell, CA 95008-3145
Phone (408) 626-9931
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
- Credentials
- Certified Pediatric Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NPF 12830 | CA | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891808838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 DUNCANVILLE CT",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950083145",
"telephone_number": "408-626-9931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 DUNCANVILLE CT",
"city": "CAMPBELL",
"state": "CA",
"postal_code": "950083145",
"telephone_number": "408-626-9931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLS",
"first_name": "KIERSTEN",
"middle_name": "ANNE MACLEOD",
"name_prefix": "Ms.",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CA",
"license": "NPF 12830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Campbell, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.