Kelsey Nicole Bousema

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95031765 Issued in CA

Practice address

815 E Pennsylvania Ave
Escondido, CA 92025-3424

Phone

(760) 466-7020

NPI assigned

Apr 27, 2016

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

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461715200000",
    "number": "1851746846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1656 WARNOCK DR",
            "city": "RAMONA",
            "state": "CA",
            "postal_code": "920653748",
            "telephone_number": "209-550-1982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 E PENNSYLVANIA AVE",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253424",
            "telephone_number": "760-466-7020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUSEMA",
        "first_name": "KELSEY",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-27",
        "last_updated": "2016-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95031765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlyn Bottom
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• Bradley Duane Bourcy, D.D.S., M.S.
• Griffon Bourgeois
• Curtis Quinn Bovee
• Emily Kyo Bowen, PNP, RN
• Leticia C. Bowen, DDS
• Amy Bowman
• Bridgette Bowman, CAS

• Registered Nurse in Escondido, CA
• Providers in Escondido, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2016; 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.