Kelsey Rae Johnsen

Primary specialty

AcupuncturistTaxonomy code 171100000X

Practice address

3565 Del Rey St Ste 207
San Diego, CA 92109-5703

Phone

(732) 614-3336

NPI assigned

Jan 20, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1285386367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3565 DEL REY ST STE 207",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921095703",
            "telephone_number": "732-614-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3565 DEL REY ST STE 207",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921095703",
            "telephone_number": "732-614-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSEN",
        "first_name": "KELSEY",
        "middle_name": "RAE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie O. Johns, AUD
• Scott Thompson Johns, PHARM.D.
• Daelen Robert Johnsen
• Gerald Johnsen
• Jeremiah Vincent Johnsen, B.S.
• Johnson and Tasto Partnership
• Roland Johnson III
• Jasmine Antonia Johnson-Bowles
• Tyneika Jovan Johnson-Dodge, LVN
• Karyn Johnson-Fernandez, OTR/L

• Acupuncturist in San Diego, CA
• Providers in San Diego, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.

Verify at the official NPI Registry.