Nicole Kirsten Raymundo, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

748985 Issued in CA

Practice address

1701 Mission Ave
Suite a
Oceanside, CA 92058-7102

Phone

(760) 967-4475

Fax

(760) 966-3827

NPI assigned

Oct 30, 2009

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

Other names 1

• Ms. Nicole Kirsten Rooney Former name

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": "1256860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256860800000",
    "number": "1295061919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 MISSION AVE",
            "address_2": "SUITE A",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920587102",
            "telephone_number": "760-967-4475",
            "fax_number": "760-966-3827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 MISSION AVE",
            "address_2": "SUITE A",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920587102",
            "telephone_number": "760-967-4475",
            "fax_number": "760-966-3827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYMUNDO",
        "first_name": "NICOLE",
        "middle_name": "KIRSTEN",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-30",
        "last_updated": "2009-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "748985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "ROONEY",
            "middle_name": "KIRSTEN",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Margo Janeen Randolph, MSW, LCSW
• Sylvia M Raslan
• Anuja S Raste, MS
• Nikhilkumar Raval, M.D.
• Dennis Pansacola Raymundo, SFIDC
• Ashley Nicole Fredeluces Rayos
• Joseph N Reardon, DDS
• Rebuild Therapy Services LLC (Rebuild Therapy Services)
• Tina L Recalde, D.P.T.
• Julia Recht, MOT, OTR/L

• Registered Nurse in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2009; 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.