Kelly Harfouche, NP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95034787 Issued in CA

Practice address

1640 Camino del Rio N Suite 206
Room 119/120
San Diego, CA 92108

Phone

(410) 688-4904

NPI assigned

May 16, 2025

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": "1747353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747353600000",
    "number": "1861283921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6185 HENDERSON DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919424017",
            "telephone_number": "410-688-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 CAMINO DEL RIO N SUITE 206",
            "address_2": "ROOM 119/120",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92108",
            "telephone_number": "410-688-4904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARFOUCHE",
        "first_name": "KELLY",
        "name_prefix": "Mrs.",
        "credential": "NP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-16",
        "last_updated": "2025-05-16",
        "certification_date": "2025-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95034787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• William Hardy, OTR/L
• Jaimee Riza B Hare, NP
• Patrick Michael Hare, PA-C
• Raichelle A Hare
• Cyril Joseph Harfouche, MD
• Regina Hargis
• Anne Jameson Hargrave, FNP
• Manuela Antunes Hargrave, RDN
• Angelina Jilis Hargrove
• Jenny Eileen Hargus, RN

• Family Nurse Practitioner in San Diego, CA
• Providers in San Diego, CA by specialty
• Family Nurse Practitioner in California

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