Active NPI
Kerry Lynn Stavinoha
- Registered Nurse
- Bonsall, CA
National Provider Identifier
1154055085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 6203369
- Practice address
- 1409 Dentro de Lomas
Bonsall, CA 92003-6811 - Phone
- (760) 390-5485
- NPI assigned
- Jul 15, 2022
- Last updated
- Jul 15, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 6203369 | CA | Primary |
Addresses
Primary practice location
1409 Dentro de Lomas
Bonsall, CA 92003-6811
Mailing address
1409 Dentro de Lomas
Bonsall, CA 92003-6811
Phone (760) 390-5485
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6203369 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657843200000",
"number": "1154055085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1409 DENTRO DE LOMAS",
"city": "BONSALL",
"state": "CA",
"postal_code": "920036811",
"telephone_number": "760-390-5485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1409 DENTRO DE LOMAS",
"city": "BONSALL",
"state": "CA",
"postal_code": "920036811",
"telephone_number": "760-390-5485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STAVINOHA",
"first_name": "KERRY",
"middle_name": "LYNN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-15",
"last_updated": "2022-07-15",
"certification_date": "2022-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "6203369",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bonsall, CA
- Sage Individual and Marriage Counseling, Inc
- Sand and Sage Marriage and Family Therapy
- Shahid Javery MD a Professional Corporation
- Michele Linden Shaw, ED.D.
- Brian M Smith, DDS
- Synergy Healing Work
- Temecula Valley Cardiology Medical Group, Inc
- Neil W. Treister, M.D.
- Tru-Health Enterprises, Inc.
- Vance Chiropractic, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.