MICKY KAMMERER FNP-C
NPI 1235845181
Nurse Practitioner in Lodi, CA

Active since January 24, 2023
777 S. HAM LANE STE M, LODI, CA 95242(209) 336-9339(209) 224-5921 Get Directions Write a Review

NPPES record last updated: March 7, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2024, Jan 24, 2023 (2 updates tracked since 2023).

About Micky Kammerer Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICKY KAMMERER FNP-C (NPI 1235845181) is an individual nurse practitioner in Lodi, California, licensed in California (95024009) and active in the NPI registry since January 2023.

NPPES Registry Identity

NPI1235845181
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameMICKY KAMMERERCredential: FNP-C
Location Address777 S. HAM LANE STE MLodi, CA 95242
Mailing Address777 S. Ham Lane Ste MLodi, CA 95242 · (209) 336-9339 · Fax (209) 224-5921
Fax(209) 224-5921
Sole ProprietorYes
Enumeration DateJanuary 24, 2023
Last NPPES UpdateMarch 7, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2023
NPI 1235845181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in CA · 95024009
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
777 S. HAM LANE STE M, Lodi, CA 95242

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Micky Kammerer's NPI number?

The NPI number for Micky Kammerer is 1235845181. It was assigned to this individual provider in the NPPES registry on January 24, 2023.

Where is Micky Kammerer located?

Micky Kammerer practices at 777 S. Ham Lane Ste M, Lodi, CA 95242. The listed phone number is (209) 336-9339.

What is Micky Kammerer's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Micky Kammerer was last updated on March 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.