Individual provider Active NPI

Kathleen M Bankerd, CA HOME CARE AIDE

  • Home Health Aide
  • Oceanside, CA
National Provider Identifier
1952885899
Registry record updated Sep 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
License
7517245226 Issued in CA
Practice address
2192 S Coast Hwy
Oceanside, CA 92054-6536
Phone
(760) 672-9443
NPI assigned
Sep 17, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2018

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X 7517245226 CA Primary
Chore Provider 372500000X 7517245226 CA
In Home Supportive Care Agency 253Z00000X 7517245226 CA
Homemaker 376J00000X 7517245226 CA
Respite Care 385H00000X 7517245226 CA

Addresses

Primary practice location

2192 S Coast Hwy
Oceanside, CA 92054-6536

Mailing address

2192 S Coast Hwy
Oceanside, CA 92054-6536
Phone (760) 672-9443

Other practice location 1

4855 Gardenia St
Oceanside, CA 92057-5432
Phone (760) 216-9975

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

State licenses

LicenseStateTypeSpecialty
7517245226CAMDRespite Care

NPI Registry JSON

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537142400000",
    "number": "1952885899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2192 S COAST HWY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546536",
            "telephone_number": "760-672-9443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2192 S COAST HWY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920546536",
            "telephone_number": "760-672-9443"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4855 Gardenia St",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920575432",
            "country_code": "US",
            "telephone_number": "760-216-9975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANKERD",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "credential": "CA HOME CARE AIDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-17",
        "last_updated": "2018-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "CA",
            "license": "7517245226",
            "primary": true
        },
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "CA",
            "license": "7517245226",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "CA",
            "license": "7517245226",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "CA",
            "license": "7517245226",
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "CA",
            "license": "7517245226",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; 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.