Active NPI
Ashley Lynn Kinney, RN, MSN, C-PNP
- Pediatric Nurse Practitioner
- Palo Alto, CA
National Provider Identifier
1942366141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 575896
- Practice address
- 730 Welch Rd FL 2
Palo Alto, CA 94304 - Phone
- (650) 723-0993
- Fax
- (650) 721-6350
- NPI assigned
- Dec 29, 2006
- Last updated
- Jun 25, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 575896 | CA | Primary |
Addresses
Primary practice location
730 Welch Rd FL 2
Palo Alto, CA 94304
Mailing address
PO Box 22210
Oakland, CA 94623-2210
Phone (510) 535-4000
Other practice location 1
3451 E 12th St
2nd Floor
Oakland, CA 94601-3463
Phone (510) 535-3600
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)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Master of Science - Nursing, Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12216 | CA | MD | Chiropractor |
| 575896 | CA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Clinica de la Raza Inc | Past | Accepting new patients | |
| Stanford Hospital and Clinics | Past | Accepting new patients | |
| Stanford Health Care | Past | Accepting new patients | |
| Lucile Salter Packard Children's Hospital at Stanford | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Family Optical I
- Federally Qualified Health Center (FQHC)
- Oakland, CA
- NPI 1124035159
-
- Children's Hospital
- Palo Alto, CA
- NPI 1467442749
-
dba Stanford Medical Center A Trade Name for Stanford Health Care
- General Acute Care Hospital
- Stanford, CA
- NPI 1437292927
-
dba SHC Reference Laboratory
- Clinical Medical Laboratory
- Palo Alto, CA
- NPI 1174698468
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529884800000",
"number": "1942366141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22210",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946232210",
"telephone_number": "510-535-4000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 WELCH RD FL 2",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "94304",
"telephone_number": "650-723-0993",
"fax_number": "650-721-6350"
}
],
"practiceLocations": [
{
"address_1": "3451 E 12th St",
"address_2": "2nd Floor",
"address_purpose": "LOCATION",
"city": "Oakland",
"state": "CA",
"postal_code": "946013463",
"country_code": "US",
"telephone_number": "510-535-3600",
"fax_number": "510-535-4247",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KINNEY",
"first_name": "ASHLEY",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "RN, MSN, C-PNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-29",
"last_updated": "2018-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CA",
"license": "575896",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.