Provider Demographics
NPI:1134329287
Name:PINKERTON, KATE (ANP-C)
Entity type:Individual
Prefix:
First Name:KATE
Middle Name:
Last Name:PINKERTON
Suffix:
Gender:F
Credentials:ANP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4234 MOUNT VOSS DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92117-4752
Mailing Address - Country:US
Mailing Address - Phone:207-749-9711
Mailing Address - Fax:
Practice Address - Street 1:425 CALIFORNIA ST STE 1400
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94104-2116
Practice Address - Country:US
Practice Address - Phone:855-527-1850
Practice Address - Fax:650-360-0447
Is Sole Proprietor?:No
Enumeration Date:2007-07-18
Last Update Date:2025-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CANPF95024938363LA2200X
MEAP081857363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MEE400163813Medicare PIN
ME1134329287OtherNPI