Nicole Marie Kustic

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

41715 Enterprise Cir N Ste 102
Temecula, CA 92590-5661

Phone

(951) 290-2997

NPI assigned

Sep 5, 2014

Last updated

Jan 27, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sigil Social Foundation

  • Marriage & Family Therapist
  • Temecula, CA
  • NPI 1811334014
  NPD (past)

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

{
    "created_epoch": "1409875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1053712380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27890 CLINTON KEITH ROAD #449",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629071",
            "telephone_number": "951-290-2997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41715 ENTERPRISE CIR N STE 102",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905661",
            "telephone_number": "951-290-2997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUSTIC",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-09-05",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy M Kuljian, NP
• Kathryn Kunitake
• Elizabeth Carisa Kunkle, LCSW
• Kurlan Dermatology Medical Center, Inc
• Julia G Kurlan, MD
• Karen Kuusniemi, PHARM.D.
• Dee M L'Archeveque, MD
• Kayleigh Janet La Gray, MA
• La Laser Center PC, a Professional Medical Corporation
• Charles Christan La Vorgna, PH.D

• Marriage & Family Therapist in Temecula, CA
• Providers in Temecula, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2017; 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.