Individual provider Active NPI

John R Kell III, MSN, RN, CSN

  • School Registered Nurse
  • Arcata, CA
National Provider Identifier
1790666402
Registry record updated Sep 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
95169202 Issued in CA
Practice address
1720 M St
Arcata, CA 95521-5741
Phone
(707) 825-2410
NPI assigned
Sep 9, 2025
Last updated
Sep 9, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 95169202 CA Primary

Addresses

Primary practice location

1720 M St
Arcata, CA 95521-5741

Mailing address

2755 McKinleyville Ave
McKinleyville, CA 95519-3400
Phone (707) 825-2410

Other practice location 1

1300 Murray Rd
McKinleyville, CA 95519-3599
Phone (707) 825-2410

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
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
95169202CAMDSchool Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Humboldt Union High School District PastSince Sep 14, 2025 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1757376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757376000000",
    "number": "1790666402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2755 MCKINLEYVILLE AVE",
            "city": "MCKINLEYVILLE",
            "state": "CA",
            "postal_code": "955193400",
            "telephone_number": "707-825-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 M ST",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955215741",
            "telephone_number": "707-825-2410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Murray Rd",
            "address_purpose": "LOCATION",
            "city": "McKinleyville",
            "state": "CA",
            "postal_code": "955193599",
            "country_code": "US",
            "telephone_number": "707-825-2410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELL",
        "first_name": "JOHN",
        "middle_name": "R",
        "name_suffix": "III",
        "credential": "MSN, RN, CSN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-09-09",
        "last_updated": "2025-09-09",
        "certification_date": "2025-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "CA",
            "license": "95169202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcata, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2025; 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.