Kelly Ann Earls, RN, PHN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

517268 Issued in CA

Practice address

1300 Baker St
Bakersfield, CA 93305-4326

Phone

(661) 631-5895

Fax

(661) 631-5898

NPI assigned

Oct 22, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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.

• Bakersfield City School District

  • Local Education Agency (LEA)
  • Bakersfield, CA
  • NPI 1912062316
  NPD (past)

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1326514886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 E 19TH ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933055406",
            "telephone_number": "661-631-5895",
            "fax_number": "661-631-5898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 BAKER ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933054326",
            "telephone_number": "661-631-5895",
            "fax_number": "661-631-5898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARLS",
        "first_name": "KELLY",
        "middle_name": "ANN",
        "credential": "RN, PHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-22",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "517268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Eagle
• Narandja Milanovich Eagleson, MFT-T
• Kevin Lee Ealy
• Ancy Eapen
• Staci Earl
• Kyleigh Earls
• Early Birdie Transport Inc.
• Kathleen Margaret Early
• Kevin Earnest
• Tiffany Earnest, LCSW

• Registered Nurse in Bakersfield, CA
• Providers in Bakersfield, 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 22, 2018; 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.