Active NPI
Kathleen A Homestead, RN
- Registered Nurse
- Tuolumne, CA
National Provider Identifier
1982924338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 475496
- Practice address
- 18880 Cherry Valley Blvd
Tuolumne, CA 95379-9506 - Phone
- (209) 928-5426
- Fax
- (209) 928-5415
- NPI assigned
- Jun 8, 2010
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 475496 | CA | Primary |
Addresses
Primary practice location
18880 Cherry Valley Blvd
Tuolumne, CA 95379-9506
Mailing address
18880 Cherry Valley Blvd
Tuolumne, CA 95379-9506
Phone (209) 928-5426
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 475496 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1275955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1275955200000",
"number": "1982924338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18880 CHERRY VALLEY BLVD",
"city": "TUOLUMNE",
"state": "CA",
"postal_code": "953799506",
"telephone_number": "209-928-5426",
"fax_number": "209-928-5415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18880 CHERRY VALLEY BLVD",
"city": "TUOLUMNE",
"state": "CA",
"postal_code": "953799506",
"telephone_number": "209-928-5426",
"fax_number": "209-928-5415"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOMESTEAD",
"first_name": "KATHLEEN",
"middle_name": "A",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-06-08",
"last_updated": "2010-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "475496",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tuolumne, CA
- Ephraim Alejandro Delgadillo Jr., CADC-I
- Marni Jean Dick, BCBA
- Dennis Charles Dryden, DDS
- Flourish and Bloom, a Nursing PC
- Seth Holm, NURSE PRACTITIONER
- Lawrence Eugene Horton, RPH
- Gary Robert Lancaster, PSY
- Gloria Lee Lochridge, FNP
- Mark Glenn Maddox, DDS
- Maynord's Chemical Dependency Recovery Centers
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.