Individual provider Active NPI

Marcie Alena Bokelman, RN

  • Registered Nurse
  • Oceanside, CA
National Provider Identifier
1669632378
Registry record updated Jun 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
701486 Issued in CA
Practice address
4906 Tyler St
Oceanside, CA 92057
Phone
(760) 705-6151
NPI assigned
Jun 16, 2008
Last updated
Jun 16, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2008

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 701486 CA Primary

Addresses

Primary practice location

4906 Tyler St
Oceanside, CA 92057

Mailing address

1825 E Valley Pkwy
Apt 2
Escondido, CA 92027-2535
Phone (760) 705-6151

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
701486CAMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213574400000",
    "number": "1669632378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 E VALLEY PKWY",
            "address_2": "APT 2",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920272535",
            "telephone_number": "760-705-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4906 TYLER ST",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "92057",
            "telephone_number": "760-705-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOKELMAN",
        "first_name": "MARCIE",
        "middle_name": "ALENA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-16",
        "last_updated": "2008-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "701486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2008; 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.