Individual provider Active NPI

Kyiesha Annette Stampley, LVN

  • Licensed Vocational Nurse
  • San Bernardino, CA
National Provider Identifier
1477488161
Registry record updated Jun 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
751866 Issued in CA
Practice address
2618 Copper LN Apt 1
San Bernardino, CA 92408-3868
Phone
(909) 633-7025
NPI assigned
Jun 15, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164X00000X 751866 CA Primary

Addresses

Primary practice location

2618 Copper LN Apt 1
San Bernardino, CA 92408-3868

Mailing address

2618 Copper LN Apt 1
San Bernardino, CA 92408-3868
Phone (909) 633-7025

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

NPI Registry JSON

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

{
    "created_epoch": "1781481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1477488161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2618 COPPER LN APT 1",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083868",
            "telephone_number": "909-633-7025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2618 COPPER LN APT 1",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924083868",
            "telephone_number": "909-633-7025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAMPLEY",
        "first_name": "KYIESHA",
        "middle_name": "ANNETTE",
        "name_prefix": "Mrs.",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-06-15",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "751866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.