Kelly Ouellette, RN

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

306844 Issued in CA

Practice address

27740 Jefferson Ave
1St Floor
Temecula, CA 92590

Phone

(951) 252-8833

Fax

(951) 489-0494

NPI assigned

Oct 19, 2018

Sex

Female

Sole proprietor

No

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1539907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539907200000",
    "number": "1245706910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27740 JEFFERSON AVE",
            "address_2": "1ST FLOOR",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92590",
            "telephone_number": "951-252-8833",
            "fax_number": "951-489-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27740 JEFFERSON AVE",
            "address_2": "1ST FLOOR",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92590",
            "telephone_number": "951-252-8833",
            "fax_number": "951-489-0494"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OUELLETTE",
        "first_name": "KELLY",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-19",
        "last_updated": "2018-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "CA",
            "license": "306844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristian Ricardo Otero
• Abigale Otjen, RBT
• Jake M Otjen
• Ouch Medical Center
• Ashley Nicole Ouellette
• Outside the Norm Counseling, Inc. (Empowered and Unapologetic)
• Karla Yunuen Ovalle
• Omonlegho Ovbude, DDS
• Skylir Jasmine Overholt
• Daisyanette Oviedo Maldonado

• School Registered Nurse in Temecula, CA
• Providers in Temecula, CA by specialty
• School Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2018; 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.