Jennifer Kinner Casagranda

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95382973 Issued in CA

Practice address

1080 Marina Village Pkwy Ste 100
Alameda, CA 94501-1078

Phone

(510) 769-4106

NPI assigned

Jul 5, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Jennifer Diane Kinner Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1720137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720137600000",
    "number": "1962248278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 BENEDICT CT",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945535307",
            "telephone_number": "707-373-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1080 MARINA VILLAGE PKWY STE 100",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945011078",
            "telephone_number": "510-769-4106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASAGRANDA",
        "first_name": "JENNIFER",
        "middle_name": "KINNER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-05",
        "last_updated": "2024-07-05",
        "certification_date": "2024-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95382973",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95382973",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "KINNER",
            "middle_name": "DIANE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Kirkendall Carper, MEDICAL DOCTOR
• Brisa B Carreo'N Morales
• Daysa Guadalupe Carrillo
• Leilani Renee Carrington
• Sarah Nicole Carter
• Sabrina Rebecca Case
• Brittany Huyen Casillas-Ta
• Maria Casique I
• Daniela Castaneda
• Garland A Castaneda, MD

• Registered Nurse in Alameda, CA
• Providers in Alameda, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.