Active NPI
Carolyn Marie Kleinsmith, RN, SCHOOL NURSE
- School Registered Nurse
- Santa Maria, CA
National Provider Identifier
1225628472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 362530
- Practice address
- 708 S Miller St
Santa Maria, CA 93454-6230 - Phone
- (805) 598-5423
- NPI assigned
- Jan 21, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatric/Mental Health Registered Nurse | 163WP0807X | 362530 | CA | |
| School Registered Nurse | 163WS0200X | 362530 | CA | Primary |
Addresses
Primary practice location
708 S Miller St
Santa Maria, CA 93454-6230
Mailing address
565 Clubhouse Dr
Santa Maria, CA 93455-3631
Phone (805) 598-5423
Other names 1
- Carolyn Marie Branquinho
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
| License | State | Type | Specialty |
|---|---|---|---|
| 362530 | CA | MD | Child & Adolescent Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Maria Bonita Elementary School District | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Local Education Agency (LEA)
- Santa Maria, CA
- NPI 1154478121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611187200000",
"number": "1225628472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "565 CLUBHOUSE DR",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934553631",
"telephone_number": "805-598-5423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "708 S MILLER ST",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934546230",
"telephone_number": "805-598-5423"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KLEINSMITH",
"first_name": "CAROLYN",
"middle_name": "MARIE",
"credential": "RN, SCHOOL NURSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-21",
"last_updated": "2021-01-21",
"certification_date": "2021-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0807X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
"state": "CA",
"license": "362530",
"primary": false
},
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "CA",
"license": "362530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CAROLYN",
"last_name": "BRANQUINHO",
"middle_name": "MARIE",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.