Active NPI
Tara Kizzer
- Licensed Vocational Nurse
- Tehachapi, CA
National Provider Identifier
1972975530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 291730
- Practice address
- 113 E F St
Tehachapi, CA 93561-1710 - Phone
- (661) 822-8223
- Fax
- (661) 823-9347
- NPI assigned
- Oct 22, 2015
- Last updated
- Oct 22, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 291730 | CA | Primary |
Addresses
Primary practice location
113 E F St
Tehachapi, CA 93561-1710
Mailing address
1021 4TH St Ste B
Taft, CA 93268-2433
Phone (661) 765-7025
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 291730 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445472000000",
"number": "1972975530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 4TH ST STE B",
"city": "TAFT",
"state": "CA",
"postal_code": "932682433",
"telephone_number": "661-765-7025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 E F ST",
"city": "TEHACHAPI",
"state": "CA",
"postal_code": "935611710",
"telephone_number": "661-822-8223",
"fax_number": "661-823-9347"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIZZER",
"first_name": "TARA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-22",
"last_updated": "2015-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "291730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tehachapi, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.