Kaycie Lynn Elsass

Primary specialty

Other TechnicianTaxonomy code 247200000X

License

L9698 Issued in CA

Practice address

35325 Date Palm Dr Ste 153F
Cathedral City, CA 92234-7086

Phone

(937) 507-5816

NPI assigned

Apr 18, 2022

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Kaycies Electrolysis and Skin Care PC

  • Clinic/Center
  • Cathedral City, CA
  • NPI 1861285728
  NPD Authorized official

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

{
    "created_epoch": "1650240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1285377192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35325 DATE PALM DR STE 153F",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922347086",
            "telephone_number": "760-537-1258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35325 DATE PALM DR STE 153F",
            "city": "CATHEDRAL CITY",
            "state": "CA",
            "postal_code": "922347086",
            "telephone_number": "937-507-5816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSASS",
        "first_name": "KAYCIE",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-18",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "CA",
            "license": "L9698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF CONSUMER AFFAIRS/ ESTHETICIAN",
            "identifier": "Z126827",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF CONSUMER AFFAIRS/ ELECTROLOGIST",
            "identifier": "L9698",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• El Desert Ride
• Alan D Eldridge, DPT
• Sami Elhaj, DDS
• Donna Ellamil-Lejarde, PA
• Danielle Lynnette Ellington
• Elvia Juarez a Dental Corporation
• Embrace Beauty Bar LLC
• Emergency Physicians Medical Group, Inc
• Frank Randolph Emerson, D.C.
• Family Care Retirement Home

• All providers in Cathedral City, CA
• Other Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.