Kimberly Marquardt, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

566705 Issued in CA

Practice address

1 Barnard Dr
Oceanside, CA 92056-3820

Phone

(760) 795-6675

NPI assigned

Nov 22, 2023

Last updated

Nov 22, 2023By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mira Costa Community College District

  • General Practice Physician
  • Oceanside, CA
  • NPI 1538933262
  NPD Authorized official

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

{
    "created_epoch": "1700611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1619742251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 SUEMARK TER",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920844721",
            "telephone_number": "760-715-8870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BARNARD DR",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920563820",
            "telephone_number": "760-795-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARQUARDT",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-22",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "CA",
            "license": "566705",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nathan Marcotte
• Randi Margarian
• Julie K Marhefka, PMHNP-BC
• Angelica Marin
• Robert Elvin Markham
• Tinoa Marquardt
• Joseph Gonzalo Marquez, DO
• Mae-Reichelle Villamor Marquez
• Justin Marquis, PA
• Mary E. Marquis, ARNP

• Administrator Registered Nurse in Oceanside, CA
• Providers in Oceanside, CA by specialty
• Administrator Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2023; 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.