Kathleen M McCormick, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

279472 Issued in CA

Practice address

25402 Pacifica Ave
Mission Viejo, CA 92691

Phone

(949) 238-2400

Fax

(949) 860-7924

NPI assigned

Aug 16, 2017

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

Other names 1

• Michelle Lemmon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502841600000",
    "number": "1790201259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25402 PACIFICA AVE",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "92691",
            "telephone_number": "949-238-2400",
            "fax_number": "949-860-7924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25402 PACIFICA AVE",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "92691",
            "telephone_number": "949-238-2400",
            "fax_number": "949-860-7924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORMICK",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-16",
        "last_updated": "2017-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "279472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "LEMMON",
            "credential": "LVN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael McCawley, MSW, LCSW
• Samantha Lynn McComb, SLP
• Linda McCool, SLP
• Michael F McCormack, MD
• Jacob Lane McCormick
• Delaine Cole McCoy, D.D.S.
• Maegan McCoy, DOULA(DONA)
• Brianna McCulin
• Christian Randall McIlwain
• James McKeon

• Licensed Vocational Nurse in Mission Viejo, CA
• Providers in Mission Viejo, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2017; 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.