NPIMap

Individual provider Active NPI

Kristen Feldkamp, FNP-C

  • Registered Nurse
  • Redondo Beach, CA
National Provider Identifier
1912320359
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95000141 Issued in CA
Practice address
520 N Prospect Ave Ste 200
Redondo Beach, CA 90277-3042
Phone
(310) 376-7455
NPI assigned
Jan 21, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95000141 CA Primary

Addresses

Primary practice location

520 N Prospect Ave Ste 200
Redondo Beach, CA 90277-3042

Mailing address

520 N Prospect Ave
Suite 200
Redondo Beach, CA 90277
Phone (310) 376-7455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140929000079 CA Practitioner - Nurse Practitioner 6204056146 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Medical InstituteGroup PAC ID 5991609737, 303 clinicians

Practice addresses (Care Compare)

520 N Prospect Ave
Suite 200
Redondo Beach, CA 90277-3042
Phone (310) 374-7655

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Institute CurrentSince Jan 16, 2017 Accepting new patients
Cedars-Sinai Medical Center CurrentSince Jul 19, 2014 Accepting new patients
Providence Medical Institute CurrentSince Jan 16, 2017 Accepting new patients
Cedars-Sinai Medical Center CurrentSince Jul 19, 2014 Accepting new patients
Genesis Family Care Medical Group, Inc. PastSince Jan 16, 2017 Accepting new patients

Locations

21501 Avalon Blvd
Ste 100
Carson, CA 90745
Phone (310) 835-6627

1010 N Sepulveda Blvd
Manhattan Beach, CA 90266
Phone (310) 322-9700

520 N Prospect Ave
Ste 200
Redondo Beach, CA 90277
Phone (310) 374-7655

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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 5

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": "1390262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1912320359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 N PROSPECT AVE",
            "address_2": "SUITE 200",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "90277",
            "telephone_number": "310-376-7455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 N PROSPECT AVE STE 200",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902773042",
            "telephone_number": "310-376-7455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELDKAMP",
        "first_name": "KRISTEN",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95000141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

Verify at the official NPI Registry.