Individual provider Active NPI

Kari Lynn Westenhaver, R.N.

  • Nurse Practitioner
  • San Marcos, CA
National Provider Identifier
1366887010
Registry record updated Sep 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95003444 Issued in CA
Practice address
1706 Descanso Ave
San Marcos, CA 92078-2514
Phone
(760) 685-7888
NPI assigned
May 8, 2013
Last updated
Sep 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 95003444 CA Primary

Addresses

Primary practice location

1706 Descanso Ave
San Marcos, CA 92078-2514

Mailing address

1706 Descanso Ave
San Marcos, CA 92078-2514
Phone (760) 280-2230

Other names 1

  • Kari Lynn Hoerauf Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20170606002623 CA Order and Referring Only - Nurse Practitioner 2668749029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
95003444CAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gary and Mary West Senior Services, Inc. CurrentSince Aug 28, 2021 Accepting new patients
University of Portland Health Center Past Accepting new patients

Locations

1706 Descanso Ave
San Marcos, CA 92078
Phone (760) 280-2230

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1366887010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 DESCANSO AVE",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782514",
            "telephone_number": "760-280-2230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 DESCANSO AVE",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920782514",
            "telephone_number": "760-685-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTENHAVER",
        "first_name": "KARI",
        "middle_name": "LYNN",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-08",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95003444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KARI",
            "last_name": "HOERAUF",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Marcos, CA

Sources for this page

Verify at the official NPI Registry.