DR. KISHA FAUSETT (NPI# 1306205109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306205109 |
| Entity Type | Individual |
| Full Name | DR. KISHA FAUSETT |
| Credential | DNP, NNP-BC |
| Practice Address |
3020 Childrens Way # Mc5008 San Diego CA 92123-4223 |
| Mailing Address |
7245 Charmant Dr 514 San Diego CA 92122-4391 |
| Practice Telephone | 8589665818 |
| Mailing Telephone | 8585196715 |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2016-12-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 163WN0002X |
Registered Nurse Specialization: Neonatal Intensive Care |
N-46557 | ID | Nursing Service Providers |
| Y | 363LN0005X |
Nurse Practitioner Specialization: Neonatal, Critical Care |
95005350 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3020 CHILDRENS WAY # MC5008 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92123-4223 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962921536 | Yvonne Marenco | Registered Nurse | 3020 Childrens Way # Mc5008, San Diego, CA 92123 | 2017-09-15 |
| 1891226965 | Sandra Aziz | Student in an Organized Health Care Education/Training Program | 3020 Childrens Way # Mc5008, San Diego, CA 92123-4223 | 2017-03-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669087326 | Corina Lozano Manzo | Registered Nurse | 7436 Mission Center Road, San Diego, CA 92123 | 2020-09-10 |
| 1831703537 | Shannon Leigh Doolittle | Audiologist | 3020 Children's Way Mc5010, San Diego, CA 92123 | 2020-09-01 |
| 1861014359 | Ha Thanh Truong | Pharmacist | Rezcare, 3821 Calle Fortunada, San Diego, CA 92123 | 2020-05-07 |
| 1023667136 | Brittany Meyer | Physical Therapist | 3020 Children's Waymc5068, San Diego, CA 92123 | 2019-09-11 |
| 1598313272 | Ryan Edward Shaw | Marriage & Family Therapist | 8910 Clairmont Mesa Blvd, San Diego, CA 92123 | 2019-08-27 |
| 1528611910 | Tanisha C Fulcher | Marriage & Family Therapist | 8825 Aero Dr., Ste 315, San Diago, CA 92123 | 2019-07-24 |
| 1245795665 | Robin James Pekin | Marriage & Family Therapist | 4450 Kearny Villa Rd, #116, San Diego, CA 92123 | 2019-02-11 |
| 1174093728 | Karen Vences | Counselor | 8755 Aero Dr Suite 230, San Diego, CA 92123 | 2018-11-27 |
| 1255808465 | Natasha Herrera | Counselor | 2801 Meadow Lark Dr, San Diego, San Diego, CA 92123 | 2018-10-25 |
| 1407321987 | Maneka Elikewela | Behavior Technician | 3934 Murphy Canyon Rd, Ste B202, San Diego, CA 92123 | 2018-10-10 |
| Find all providers in zip 92123 | ||||
| Taxonomy Code | 363LN0005X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Neonatal, Critical Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932764347 | Kaitlin Parrish | Nurse Practitioner | 3020 Childrens Way, San Diego, CA 92123-4223 | 2019-05-01 |
| 1891268496 | Nedy Francois | Nurse Practitioner | 3020 Childrens Way, San Diego, CA 92123-4223 | 2019-01-07 |
| 1831632843 | Christina Dinnall | Nurse Practitioner | 3020 Childrens Way, San Diego, CA 92123-4223 | 2016-11-22 |
| 1164852786 | Ila Evette Reed | Nurse Practitioner | 3020 Childrens Way, San Diego, CA 92123-4223 | 2013-11-18 |
| 1164860813 | Sabrina Elisabeth Poyner | Nurse Practitioner | 3020 Childrens Way, San Diego, CA 92123-4223 | 2013-06-04 |
| 1154653459 | Commerina Theodora Mcconnin | Nurse Practitioner | 3020 Childrens Way, San Diego, CA 92123-4223 | 2010-02-11 |
| 1073845327 | Natasha Amy Tanner | Nurse Practitioner | 3030 Childrens Way, San Diego, CA 92123-4232 | 2010-02-10 |
| 1679805592 | Susan Kylee Newman | Nurse Practitioner | 3020 Childrens Way, San Diego, CA 92123-4223 | 2010-02-02 |
| 1891921284 | Lori Michele Thompson | Nurse Practitioner | 34800 Bob Wilson Dr, San Diego, CA 92134-1098 | 2009-05-31 |
| 1437396413 | April Jeannette Jaggi | Nurse Practitioner | 3020 Childrens Way, San Diego, CA 92123-4223 | 2009-01-14 |
| Find all providers in SAN DIEGO | ||||
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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.