Individual provider Active NPI

Kathleen Jewesson Roney, RN, BSN, M.ED

  • School Registered Nurse
  • Camarillo, CA
National Provider Identifier
1003792979
Registry record updated Aug 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
767693 Issued in CA
Practice address
545 Airport Way
Camarillo, CA 93010-8581
Phone
(805) 278-2929
Fax
(805) 385-5776
NPI assigned
Aug 14, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 767693 CA Primary

Addresses

Primary practice location

545 Airport Way
Camarillo, CA 93010-8581

Mailing address

1001 Sunset PL
Ojai, CA 93023-2036
Phone (805) 453-0771

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Bachelor on Science - Nursing, Master of Education, Registered Nurse

State licenses

LicenseStateTypeSpecialty
767693CAMDSchool Registered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1755129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755129600000",
    "number": "1003792979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SUNSET PL",
            "city": "OJAI",
            "state": "CA",
            "postal_code": "930232036",
            "telephone_number": "805-453-0771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 AIRPORT WAY",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930108581",
            "telephone_number": "805-278-2929",
            "fax_number": "805-385-5776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONEY",
        "first_name": "KATHLEEN",
        "middle_name": "JEWESSON",
        "name_prefix": "Mrs.",
        "credential": "RN, BSN, M.ED",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-08-14",
        "last_updated": "2025-08-14",
        "certification_date": "2025-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "CA",
            "license": "767693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.