Individual provider Active NPI

Evonne Marie Kuchera, R.N.

  • Wound Care Registered Nurse
  • Camarillo, CA
National Provider Identifier
1023131836
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Wound Care Registered NurseTaxonomy code 163WW0000X
License
273189 Issued in CA
Practice address
2191 Lyndhurst Ave
Camarillo, CA 93010-2058
Phone
(805) 484-5428
Fax
(805) 484-0101
NPI assigned
Apr 8, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Wound Care Registered Nurse 163WW0000X 273189 CA Primary

Addresses

Primary practice location

2191 Lyndhurst Ave
Camarillo, CA 93010-2058

Mailing address

2191 Lyndhurst Ave
Camarillo, CA 93010-2058
Phone (805) 484-5428

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
273189CAMDWound Care Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1175990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1023131836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2191 LYNDHURST AVE",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930102058",
            "telephone_number": "805-484-5428",
            "fax_number": "805-484-0101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2191 LYNDHURST AVE",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930102058",
            "telephone_number": "805-484-5428",
            "fax_number": "805-484-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCHERA",
        "first_name": "EVONNE",
        "middle_name": "MARIE",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "CA",
            "license": "273189",
            "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 Jul 8, 2007; 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.