MEDICARE: KRISTEN FIELDS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171M00000X	Case Manager/Care Coordinator		CA
2	171W00000X	Contractor		CA
3	171000000X	Military Health Care Provider		CA
4	172V00000X	Community Health Worker		CA
5	246RP1900X	Phlebotomy Technician		CA
6	101Y00000X	Counselor		CA
7	374U00000X	Home Health Aide		CA
8	376K00000X	Nurse's Aide		CA
9	390200000X	Student in an Organized Health Care Education/Training Program		CA
10	246Y00000X	Health Information Specialist/Technologist		CA
11	171400000X	Health & Wellness Coach	8890DA8777	CA

General Provider Information

NPI Number	:	1982548467
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTEN FIELDS

Provider Business Mailing Address
First Line	:	1027 WILSHIRE BLVD APT 705
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90017-3126
Country	:	US
Telephone Number	:	213-259-9985
Fax Number	:

Provider Business Practice Location Address
First Line	:	1028 W 121ST ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90044-2920
Country	:	US
Telephone Number	:	213-259-9985
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2026
Last Update Date	:	04/16/2026

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Directions to “ KRISTEN FIELDS ” Practice Location

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