Kathryn Elizabeth Kizzar, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95083620 Issued in CA

Practice address

12143 Navajo Rd
Apple Valley, CA 92308-7250

Phone

(760) 240-1144

NPI assigned

Feb 19, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00037

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.

• Bruce Park, M.D. a Professional Corporation

  • Dermatology Physician
  • Fullerton, CA
  • NPI 1851478358
  NPD (past)

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

{
    "created_epoch": "1550534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1912463589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W YALE ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917621918",
            "telephone_number": "925-202-1331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12143 NAVAJO RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923087250",
            "telephone_number": "760-240-1144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIZZAR",
        "first_name": "KATHRYN",
        "middle_name": "ELIZABETH",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-19",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95083620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Nicole Kimbrough
• Kinder Diligence Care, LLC
• Brenda King
• Meliza Quinonez Kinney, LCSW
• Meanna Kintaudi
• Janardhana Reddy Kolavala, MD
• Megan Koneck
• Marshall Roy Koon, PA-C
• R. David Kovacik, M.D
• Steven E Kratofil, DDS

• Family Nurse Practitioner in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.