Kenneth Eugene Harbison-Bleker, LVN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

151669 Issued in CA

Practice address

432 Windrose Way
Chula Vista, CA 91910-7442

Phone

(415) 702-5199

NPI assigned

Apr 30, 2012

Sex

Male

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Novagenesis Health Services

  • Nursing Care Agency
  • Chula Vista, CA
  • NPI 1255699864
  NPD (past)

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

{
    "created_epoch": "1335744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335744000000",
    "number": "1902164700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "432 WINDROSE WAY",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919107442",
            "telephone_number": "415-702-5199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "432 WINDROSE WAY",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919107442",
            "telephone_number": "415-702-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARBISON-BLEKER",
        "first_name": "KENNETH",
        "middle_name": "EUGENE",
        "name_prefix": "Mr.",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-30",
        "last_updated": "2012-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CA",
            "license": "151669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryam Hanoodi, MD
• David Preston Hansen, MD
• James Floyd Hanson, LMFT
• Ruth A. Hanson, P.T.A.
• Anuhea Kauanoe Hao Tufaga
• Rhian Hardee
• Carly Christine Ramirez Hardge, LMFT
• Daleanne Elizabeth Hardwick, LVN
• Joanne Hardy, RN
• Leticia Fregoso Haret, MFT

• Licensed Practical Nurse in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Licensed Practical Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2012; 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.