Keisa Christine Desouza, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

VN249516 Issued in CA

Practice address

24625 Arch St
Santa Clarita, CA 91321-1111

Phone

(661) 288-2644

NPI assigned

Jul 3, 2016

Last updated

Jul 3, 2016By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1467504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467504000000",
    "number": "1548612476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6011",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915106011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24625 ARCH ST",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913211111",
            "telephone_number": "661-288-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESOUZA",
        "first_name": "KEISA",
        "middle_name": "CHRISTINE",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-03",
        "last_updated": "2016-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "VN249516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA BVNPT",
            "identifier": "VN249516",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Licensed Vocational Nurse in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 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.

Verify at the official NPI Registry.