Katherine Soubra, NURSE PRACTITIONER
NPI 1417036195 · Nurse Practitioner · Long Beach, CA
Enrolled with Medicare as Order and Referring Only - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Katherine Soubra, NURSE PRACTITIONER is a Nurse Practitioner provider in Long Beach, CA (NPI 1417036195).
Provider details
- NPI number
- 1417036195
- Entity type
- Individual
- Primary specialty
- Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NURSE PRACTITIONER
- Sex
- Female
- Sole proprietor
- No
- License
- 301288 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-03
- Last updated
- 2007-07-08
Frequently asked questions
- What is Katherine Soubra's NPI number?
- Katherine Soubra's National Provider Identifier (NPI) is 1417036195, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Katherine Soubra's specialty?
- Katherine Soubra is listed in the NPPES registry with a primary specialty of Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Katherine Soubra located?
- Katherine Soubra's practice location on file with NPPES is 2701 Atlantic Ave, Long Beach, CA 90806-2701.
- What is Katherine Soubra's phone number?
- The practice phone number listed in the NPPES registry for Katherine Soubra is (562) 595-4827.
- Does Katherine Soubra accept Medicare?
- Katherine Soubra is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Katherine Soubra's NPI active?
- Yes — Katherine Soubra's NPI (1417036195) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.