Sharon Kaye-Boothe Kepple, PHD, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

8383 Issued in CA

Practice address

561 Saxony Place
Suite 102
Encinitas, CA 92024

Phone

(760) 203-3839

Fax

(760) 203-3840

NPI assigned

Jun 24, 2015

Last updated

Jun 24, 2015By 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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Doctor of Philosophy

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.

• Geri Connection

  • Family Medicine Physician
  • Poway, CA
  • NPI 1447976907
  NPD
• Myndfull Care Management California PC

  • Clinic/Center
  • San Diego, CA
  • NPI 1770206435
  NPD
• Senior Medical Associates, Inc.

  • Geriatric Medicine (Internal Medicine) Physician
  • San Diego, CA
  • NPI 1629253505
  NPD
• Myndfull Care Management Utah PC

  • Internal Medicine Physician
  • Farmington, UT
  • NPI 1649962440
  NPD
• Myndfull Care Utah PC

  • Internal Medicine Physician
  • Farmington, UT
  • NPI 1821862947
  NPD

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435104000000",
    "number": "1720460934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "561 SAXONY PLACE",
            "address_2": "SUITE 102",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "92024",
            "telephone_number": "760-203-3839",
            "fax_number": "760-203-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "561 SAXONY PLACE",
            "address_2": "SUITE 102",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "92024",
            "telephone_number": "760-203-3839",
            "fax_number": "760-203-3840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEPPLE",
        "first_name": "SHARON",
        "middle_name": "KAYE-BOOTHE",
        "name_prefix": "Mrs.",
        "credential": "PHD, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2015-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "8383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carl Hall Kelly III, RPH
• Kim Darrell Kelly, ND, MPH
• Robin Kelly
• Kendra Pinamonti (Sunshine Inside Marriage and Family Therapist, Inc.)
• Christine Kent
• Hannah Shull Kern, M.D.
• Reid Kessler, PSYD
• Carol Dawn Kesten-Selhay, M.S., MFCC
• Keven Tagdiri M.D., Inc.
• Keven Tagdiri, MD, Inc.

• Nurse Practitioner in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.