KAILA ALEXANDRA SPAFFORD BRERETON


Address: 1358 17th Ave, San Francisco, CA 94122-1939
Phone: 9259843688

KAILA ALEXANDRA SPAFFORD BRERETON (NPI# 1144701392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144701392
Entity Type Individual
Full Name KAILA ALEXANDRA SPAFFORD BRERETON
Credential AC-PNP
Practice Address 1358 17th Ave
San Francisco
CA 94122-1939
Practice Telephone 9259843688
Mailing Telephone 9259843688
Enumeration Date 2018-08-26
Last Update Date 2018-08-26
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0222X Nurse Practitioner
Specialization: Pediatrics, Critical Care
95009708 CA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
CA NPF 95009708 01

Office Location

Street Address 1358 17TH AVE
City SAN FRANCISCO
State CA
Zip Code 94122-1939

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Taxonomy Information

Taxonomy Code 363LP0222X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics, Critical Care

Taxonomy Definition

Definition to come...

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1992223069 Ambili N Thannil Nurse Practitioner 550 16th Street 5th Floor, San Francisco, CA 94158 2017-09-08
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1104133800 Jennifer Harvey Nurse Practitioner 2712a California St, San Francisco, CA 94115-2514 2010-09-02
1538767009 Andrea Michele Cevini Nurse Practitioner 1975 4th St Fl 3, San Francisco, CA 94143-2351 2020-10-15
1811472475 Zoe Wallace Magennis-molke Nurse Practitioner 1975 4th St, San Francisco, CA 94143-2351 2018-09-30
1558845487 Kelly Anne Kim Nurse Practitioner 1975 4th St, San Francisco, CA 94143-2351 2018-09-17
1467968404 Ching Ching Yang Nurse Practitioner 1975 4th St, San Francisco, CA 94143-2351 2017-12-27
1750805859 Melissa Diane Lincks Nurse Practitioner 1975 4th St, San Francisco, CA 94143-2351 2017-07-31
1922537331 Jennifer Hartman Nurse Practitioner 1975 4th St, Box 4012, San Francisco, CA 94143 2017-06-08
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Competitor

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City SAN FRANCISCO
Zip Code 94122

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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