Kristen Noelle Tarrell, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

502859 Issued in CA

Practice address

909 Richland Rd SPC 126
San Marcos, CA 92069-9637

Phone

(916) 532-7516

NPI assigned

Sep 18, 2023

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

Other identifiers 2

Other names 1

• Kristen Connor Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694995200000",
    "number": "1992583249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 RICHLAND RD SPC 126",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920699637",
            "telephone_number": "916-532-7516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 RICHLAND RD SPC 126",
            "city": "SAN MARCOS",
            "state": "CA",
            "postal_code": "920699637",
            "telephone_number": "916-532-7516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARRELL",
        "first_name": "KRISTEN",
        "middle_name": "NOELLE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2023-09-18",
        "certification_date": "2023-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "502859",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF REGISTERED NURSING",
            "identifier": "502859",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA BOARD OF REGISTERED NURSING",
            "identifier": "75527",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTEN",
            "last_name": "CONNOR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jennifer Tang, OTR/L
• Simon Tanksley, MD
• Araceli Tapia
• Donovan Taylor Tapia
• Bertha Tarango
• Jodi Laine Tarutis, PA-C
• Gina Tashjian
• Autumn Tattenham, CLC, CD, NCS
• Deborah Anne Taubman, N.P.
• Carol A Taylor, P.A.

• Registered Nurse in San Marcos, CA
• Providers in San Marcos, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2023; 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.