Individual provider Active NPI

Tiera Kennedy-Vargas, RN,BSN

  • Registered Nurse
  • Temecula, CA
National Provider Identifier
1548065162
Registry record updated Apr 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
95082221 Issued in CA
Practice address
30650 Rancho California Rd
D406 #347
Temecula, CA 92591
Phone
(925) 351-2967
NPI assigned
Feb 18, 2025
Reactivated
Apr 28, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 95082221 CA Primary

Addresses

Primary practice location

30650 Rancho California Rd
D406 #347
Temecula, CA 92591

Mailing address

30650 Rancho California Rd
D406 #347
Temecula, CA 92591
Phone (925) 200-4066

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
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
95082221CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Home Health Nursing Solutions Inc. Registered Nurse Current Accepting new patients
Home Health Nursing Solutions Inc. Current Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777334400000",
    "number": "1548065162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30650 RANCHO CALIFORNIA RD",
            "address_2": "D406 #347",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92591",
            "telephone_number": "925-200-4066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30650 RANCHO CALIFORNIA RD",
            "address_2": "D406 #347",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "92591",
            "telephone_number": "925-351-2967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY-VARGAS",
        "first_name": "TIERA",
        "credential": "RN,BSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-18",
        "last_updated": "2026-04-28",
        "certification_date": "2025-02-17",
        "deactivation_date": "2026-03-12",
        "reactivation_date": "2026-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95082221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.