Kyle David Jasper, PMHNP, MSN, RN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

95015599 Issued in CA

Practice address

11801 Go for Broke Rd
Roseville, CA 95678-7055

Phone

(916) 409-8261

NPI assigned

Aug 4, 2019

Sex

Male

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Registered Nurse

Practice roles

Locations

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.

• Asian Pacific Community Counseling

  • Adult Mental Health Clinic/Center
  • Sacramento, CA
  • NPI 1932314184
  NPD
• County of Sacramento

  • Adult Mental Health Clinic/Center
  • Sacramento, CA
  • NPI 1043386659
  NPD
• County of Sacramento

  • Radiology Clinic/Center
  • Sacramento, CA
  • NPI 1508936030
  NPD

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

{
    "created_epoch": "1564876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1962057281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11801 GO FOR BROKE RD",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956787055",
            "telephone_number": "562-895-7814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11801 GO FOR BROKE RD",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956787055",
            "telephone_number": "916-409-8261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASPER",
        "first_name": "KYLE",
        "middle_name": "DAVID",
        "credential": "PMHNP,  MSN, RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-04",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95015599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashlee Janzen
• Gina Marie Jaramillo, PHARM D
• Jared Thomas Chiropractic Corporation, PC
• Hannah Rose Jarvis
• Jennifer Kaitlin Jasper, RD
• Jass Transport LLC
• Shaddy Javadinejad, PHARMD
• Peter A. Javaheri, MD
• Qasim Javed
• Javidan Urology, Inc

• Psychiatric/Mental Health Nurse Practitioner in Roseville, CA
• Providers in Roseville, CA by specialty
• Psychiatric/Mental Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.