Joan Kazmar, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5435 Issued in CA

Practice address

3320 Chanate Rd
Santa Rosa, CA 95404-1708

Phone

(707) 576-4108

Fax

(707) 576-4087

NPI assigned

Jul 20, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187654400000",
    "number": "1891995569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2670 MEADOWMONT LN",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954041900",
            "telephone_number": "707-575-0986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3320 CHANATE RD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954041708",
            "telephone_number": "707-576-4108",
            "fax_number": "707-576-4087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAZMAR",
        "first_name": "JOAN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-20",
        "last_updated": "2007-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "5435",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "204949",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Molly Kristin Kay, DO
• Kira Sue Kayler, MFC 46211
• Denise Kayser, M.D.
• Robert Allen Kayser, MD
• Farnaz Kazerooni
• Miette Kealey
• Erica Sadie Keamy, CNM, WHNP
• Robert John Kearns, O.D.
• Sara Ann Keck, MD
• Julie L. Kee

• Nurse Practitioner in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.

Verify at the official NPI Registry.