Active NPI
Kelly Schoenfeld
- Registered Nurse
- Indio, CA
National Provider Identifier
1457718306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 825681
- Practice address
- 48136 Lombard CT
Indio, CA 92201-7476 - Phone
- (760) 218-8500
- NPI assigned
- Jan 23, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 825681 | CA | Primary |
Addresses
Primary practice location
48136 Lombard CT
Indio, CA 92201-7476
Mailing address
48136 Lombard CT
Indio, CA 92201-7476
Phone (760) 218-8500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 825681 | CA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bella Family Healthcare & Aesthetics | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Meridian, ID
- NPI 1275186835
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453507200000",
"number": "1457718306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "48136 LOMBARD CT",
"city": "INDIO",
"state": "CA",
"postal_code": "922017476",
"telephone_number": "760-218-8500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "48136 LOMBARD CT",
"city": "INDIO",
"state": "CA",
"postal_code": "922017476",
"telephone_number": "760-218-8500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHOENFELD",
"first_name": "KELLY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-01-23",
"last_updated": "2016-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "825681",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indio, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.