Kaeleen Holbrooks, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95096828 Issued in CA

Practice address

100 S Ellsworth Ave Ste 806
San Mateo, CA 94401-3926

Phone

(650) 401-6060

NPI assigned

Aug 8, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Interoperability endpoints

• Direct secure messaging: kaeleen@luminaskin.com

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1700513827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 S COLONEL WAY",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940192172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S ELLSWORTH AVE STE 806",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013926",
            "telephone_number": "650-401-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLBROOKS",
        "first_name": "KAELEEN",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95096828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Kaeleen@luminaskin.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "100 S Ellsworth Ave Ste 806",
            "city": "San Mateo",
            "state": "CA",
            "country_code": "US",
            "postal_code": "944013926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Forouzandeh Evotia Hoda
• Olisha Hodges, LCSW
• Sydney Hoff, OTD, OTR/L
• Corinna Lynn Hofland
• Amy Melissa Hofmann
• Charles Holland
• Shelly Holland, MFT
• Taylor Nicole Holland
• Michelle Dorothy Hollington
• Alexandria Holman Bentancourt

• Registered Nurse in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2022; 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.