Kelly Jean Garner

Primary specialty

NutritionistTaxonomy code 133N00000X

Practice address

126 Palmas Norte
Fallbrook, CA 92028-2541

Phone

(805) 490-1538

NPI assigned

Jul 19, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1468886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468886400000",
    "number": "1609229376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "126 PALMAS NORTE",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920282541",
            "telephone_number": "805-490-1538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 PALMAS NORTE",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920282541",
            "telephone_number": "805-490-1538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARNER",
        "first_name": "KELLY",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-19",
        "last_updated": "2016-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lea Marisa Gamillo, MT, HHP
• Susi Garay Zecena, RN, BSN, MSN, PMHNP
• Monica Teresa Garcia, B.A, RADT
• Lauren Patrice Gardiner, CLEAR ADMINISTRATIVE
• Garfield Beach CVS LLC
• Ganiat A Gbadebo, NP
• Kandace Marie Gee, B.S., D.C.
• Theresa Marie Geracitano
• Tracy Lynn Gereau, MA
• Michele H Germain, LCSW11231 LICENSE C

• Nutritionist in Fallbrook, CA
• Providers in Fallbrook, CA by specialty
• Nutritionist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.