KELLY NICHOLAS (NPI# 1154804250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1154804250 |
Entity Type | Individual |
Full Name | KELLY NICHOLAS |
Practice Address |
400 Craven Rd San Marcos CA 92078-4201 |
Practice Telephone | 7605105572 |
Enumeration Date | 2018-09-13 |
Last Update Date | 2018-09-13 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2279G1100X |
Respiratory Therapist, Registered Specialization: General Care |
24314 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871820027 | Kelly Nicholas | Physician Assistant | 200 Lothrop St, Suite 9055, Pittsburgh, PA 15213-2536 | 2009-11-09 |
Street Address |
400 CRAVEN RD |
City | SAN MARCOS |
State | CA |
Zip Code | 92078-4201 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619975232 | Benny Joe Martin | Family Medicine | 400 Craven Rd, San Marcos, CA 92078-4201 | 2005-07-08 |
1154809978 | Cassandra Evette Roberts | Respiratory Therapist, Registered | 400 Craven Rd, San Marcos, CA 92078-4201 | 2018-08-02 |
1023596442 | Jennifer Alexander | Respiratory Therapist, Certified | 400 Craven Rd, San Marcos, CA 92078-4201 | 2018-07-30 |
1639681034 | Alyssa Maples | Physical Therapist | 400 Craven Rd, San Marcos, CA 92078-4201 | 2017-10-25 |
1649727470 | Oliver Marselo Fregoso | Technician, Other | 400 Craven Rd, San Marcos, CA 92078-4201 | 2016-09-09 |
1487013595 | Jacqueline Bui | Pharmacist | 400 Craven Rd, San Marcos, CA 92078-4201 | 2016-02-17 |
1457710758 | Nikki Pham | Pharmacist | 400 Craven Rd, San Marcos, CA 92078-4201 | 2016-02-15 |
1356709364 | Mydung Duong | Pharmacist | 400 Craven Rd, San Marcos, CA 92078-4201 | 2016-02-04 |
1073991261 | Tracy M Abrams | Registered Nurse | 400 Craven Rd, Surgery Center, Building 4, San Marcos, CA 92078-4201 | 2015-05-08 |
1861887150 | Weston Ryan | Physical Therapist | 400 Craven Rd, San Marcos, CA 92078 | 2015-04-02 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1437623253 | Tania Borja-rodriguez | Nurse Practitioner | 334 Via Vera Cruz #257, San Marcos, CA 92078 | 2019-01-15 |
1558846824 | Mckenzie Daile Sorensen | Dentist | 145 S Las Posas Rd Ste 162, San Marcos, CA 92078 | 2018-10-02 |
1548750169 | West2north Medical Solutions Inc | Physical Medicine & Rehabilitation | 1595 Grand Ave Ste 100, San Marcos, CA 92078 | 2018-05-18 |
1700385747 | Wytoshery Monea Williams | Nurse Practitioner | 1912 Northstar Way, 130, San Marcos, CA 92078 | 2018-02-05 |
1457878415 | Smile Community Clinic Inc | Dentist | 670 W. San Marcos Blvd. Ste 103-b, San Marcos, CA 92078 | 2017-08-29 |
1740636232 | Ethelaine Centeno | Occupational Therapist | 1615 S. Rancho Santa Fe Road, San Marcos, CA 92078 | 2016-05-13 |
1336506203 | Nga Thien Ta | Pharmacist | 671 Rancho Santa Fe, San Marcos, CA 92078 | 2016-01-24 |
1689039349 | Kayleigh Ann Desrosiers | Physical Therapist | 137 S Las Posas Rd Ste 254, San Marcos, CA 92078 | 2015-12-23 |
1821475930 | Anna Yu | Social Worker | 310 S. Twin Oaks Valley Rd., #107-381, San Marcos, CA 92078 | 2015-04-28 |
1831582592 | Bewell Home Physical Therapy P C | Clinic/Center | 1582 W San Marcos Blvd Ste 105b, San Marcos, CA 92078 | 2015-03-05 |
Find all providers in zip 92078 |
Taxonomy Code | 2279G1100X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Respiratory Therapist, Registered |
Specialization | General Care |
This level of care includes diagnostics testing, therapeutics, monitoring, rehabilitation of patients with disorders of the cardiopulmonary system, as well as, education of the patient and family in regard to those disorders. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629690144 | Monica Lopez | Respiratory Therapist, Registered | 1251 Marengo St, Los Angeles, CA 90033 | 2020-05-07 |
1265998777 | Lorraine Veal | Respiratory Therapist, Registered | 300 Pinto Ct, Vallejo, CA 94591-3696 | 2019-02-20 |
1871067017 | Erica C Chinchilla | Respiratory Therapist, Registered | 40 Fountainhead Ct, Martinez, CA 94553-4964 | 2019-01-21 |
1013488790 | John Charles Yorga | Respiratory Therapist, Registered | 223 Cromwell Ave, Clovis, CA 93611-7046 | 2018-12-06 |
1174092878 | Jessica Mcalister | Respiratory Therapist, Registered | 1578 Pacific Ave Apt 6, San Leandro, CA 94577-2567 | 2018-11-26 |
1669951562 | Floyd Bailey | Respiratory Therapist, Registered | 8110 Woodman Ave Bldg 5, Panorama City, CA 91402 | 2018-08-10 |
1891150967 | Ilda Silva | Respiratory Therapist, Registered | 5213 Sulphur Dr, Mira Loma, CA 91752-2917 | 2015-12-16 |
1366842528 | Deborah Kathleen Rothwell | Respiratory Therapist, Registered | 2161 Snowden Ave, Long Beach, CA 90815-3346 | 2014-08-25 |
1710396171 | Leticia Rodas | Respiratory Therapist, Registered | 5705 Sepulveda Blvd, Culver City, CA 90230-6406 | 2014-08-10 |
1013332162 | Anthony Jacob Syphus | Respiratory Therapist, Registered | 18432 Oak Canyon Rd Apt 626, Santa Clarita, CA 91387 | 2014-02-26 |
Find all providers with the same taxonomy |
City | SAN MARCOS |
Zip Code | 92078 |
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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.