John K Housinga

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

34800 Bob Wilson Dr
San Diego, CA 92134-1098

Phone

(608) 449-5583

NPI assigned

Aug 31, 2020

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1316550106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 BRIDLEWOOD DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285409101",
            "telephone_number": "608-449-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34800 BOB WILSON DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921341098",
            "telephone_number": "608-449-5583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOUSINGA",
        "first_name": "JOHN",
        "middle_name": "K",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-31",
        "last_updated": "2023-11-27",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "AHLTA",
            "affiliation": "Y",
            "endpointDescription": "AHLTA",
            "affiliationName": "US Navy",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "34800 Bob Wilson Dr",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921341098",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Megan Houseknecht, PSY.D.
• Kimara Lani Houseman
• Adriana Nicole Houser
• Joseph Houser, MDIV
• Meshach Houser
• Heather Marie Houska, PHARM.D
• Alexis Jane Housley, DPT
• Amy Housley, IDC
• Brady Housley
• Patricia Housley

• Independent Duty Corpsman in San Diego, CA
• Providers in San Diego, CA by specialty
• Independent Duty Corpsman in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 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.