Active NPI
Kelly Nesseth, PHARMD
- Pharmacist
- Chula Vista, CA
National Provider Identifier
1972224483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacist
- License
- 70960
- Practice address
- 435 H St
Chula Vista, CA 91910-4307 - Phone
- (619) 691-7200
- NPI assigned
- Sep 5, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pharmacist | 183500000X | 70960 | CA | Primary |
Addresses
Primary practice location
435 H St
Chula Vista, CA 91910-4307
Mailing address
3298 Governor Drive
PO Box #22249
San Diego, CA 92122
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | HealthSystem | Health Information Exchange (HIE) |
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
- Doctor of Pharmacy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70960 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662336000000",
"number": "1972224483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3298 GOVERNOR DRIVE",
"address_2": "PO BOX #22249",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92122"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 H ST",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919104307",
"telephone_number": "619-691-7200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NESSETH",
"first_name": "KELLY",
"name_prefix": "Dr.",
"credential": "PHARMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-05",
"last_updated": "2022-09-05",
"certification_date": "2022-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "183500000X",
"taxonomy_group": "",
"desc": "Pharmacist",
"state": "CA",
"license": "70960",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "HealthSystem",
"affiliation": "N",
"endpointDescription": "HealthSystem",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "HealthSystem",
"address_1": "435 H St",
"city": "Chula Vista",
"state": "CA",
"country_code": "US",
"postal_code": "919104307",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.