Kayleigh Prowse, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP22923 Issued in CA

Practice address

2918 Fifth Ave Ste 300
San Diego, CA 92103-5910

Phone

(619) 255-2101

NPI assigned

Feb 28, 2020

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

Enrolled in CO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pulse Braincare LLC

  • Behavioral Neurology & Neuropsychiatry Physician
  • Denver, CO
  • NPI 1417753401
  Medicare reassignment NPD

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

{
    "created_epoch": "1582848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664928000000",
    "number": "1316571367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 DOVE ST STE 275",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926601431",
            "telephone_number": "949-851-3086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2918 FIFTH AVE STE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921035910",
            "telephone_number": "619-255-2101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Dove St Ste 275",
            "address_purpose": "LOCATION",
            "city": "Newport Beach",
            "state": "CA",
            "postal_code": "926601431",
            "country_code": "US",
            "telephone_number": "949-851-3086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PROWSE",
        "first_name": "KAYLEIGH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-28",
        "last_updated": "2022-10-05",
        "certification_date": "2022-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP22923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Provident Home Health Care, Inc.
• Caitlin Reese Suarez Provido
• Provision Pharmacy, Inc.
• Provision Pharmacy, Inc. -LTC
• Melissa Provost
• Proxima Medical Group
• Brigite Prud'Homme
• Elizabeth Pruett
• Michelle Pruett, NP
• Zhike Pruett, N.P.

• Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.