Active NPI
Kameren Joy Owens, ANP
- Family Nurse Practitioner
- Santa Rosa, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 15943
- Practice address
- 751 Lombardi CT
Santa Rosa, CA 95407-6798 - Phone
- (707) 303-3600
- NPI assigned
- Jul 12, 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | APN000879 | NV | |
| Adult Health Nurse Practitioner | 363LA2200X | 1744 | HI | |
| Family Nurse Practitioner | 363LF0000X | 15943 | CA | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | 15943 | CA |
Addresses
Primary practice location
751 Lombardi CT
Santa Rosa, CA 95407-6798
Mailing address
3569 Round Barn Cir
Ste 203
Santa Rosa, CA 95403-5781
Phone (707) 303-3600
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- University of California, San Francisco School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1381 University St
Healdsburg, CA 95448-3314
Phone (707) 433-5494
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1744 | HI | MD | Physical Therapist |
| APN000879 | NV | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Medical Center | Current | Accepting new patients | |
| Alliance Medical Center | Current | Accepting new patients | |
| Santa Rosa Community Health Centers | Current | Accepting new patients | |
| Santa Rosa Community Health Centers | Current | Accepting new patients |
Locations
1381 University St
Healdsburg, CA 95448
Phone (707) 431-8234
751 Lombardi Ct
Santa Rosa, CA 95407
Phone (707) 547-2222
751 Lombardi Ct
Ste B
Santa Rosa, CA 95407
Phone (707) 547-2220
3569 Round Barn Cir
Santa Rosa, CA 95403
3569 Round Barn Cir
Ste 203
Santa Rosa, CA 95403
8465 Old Redwood Hwy
Ste 320
Windsor, CA 95492
Phone (707) 433-5494
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- Healdsburg, CA
- NPI 1750399796
-
- Federally Qualified Health Center (FQHC)
- Santa Rosa, CA
- NPI 1578631172
-
- Optometrist
- Healdsburg, CA
- NPI 1588497168
-
- Federally Qualified Health Center (FQHC)
- Santa Rosa, CA
- NPI 1467180430
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Santa Rosa, CA
- NPI 1740413798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682985600000",
"number": "1942225156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3569 ROUND BARN CIR",
"address_2": "STE 203",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954035781",
"telephone_number": "707-303-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "751 LOMBARDI CT",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954076798",
"telephone_number": "707-303-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OWENS",
"first_name": "KAMEREN",
"middle_name": "JOY",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-12",
"last_updated": "2023-05-02",
"certification_date": "2023-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NV",
"license": "APN000879",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "HI",
"license": "1744",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "15943",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "15943",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.