1720460934 NPI number — MRS. SHARON KAYE-BOOTHE KEPPLE PHD, FNP

Table of content: MRS. SHARON KAYE-BOOTHE KEPPLE PHD, FNP (NPI 1720460934)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1720460934 NPI number — MRS. SHARON KAYE-BOOTHE KEPPLE PHD, FNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KEPPLE
Provider First Name:
SHARON
Provider Middle Name:
KAYE-BOOTHE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
PHD, FNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1720460934
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
06/24/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
561 SAXONY PLACE
Provider Second Line Business Mailing Address:
SUITE 102
Provider Business Mailing Address City Name:
ENCINITAS
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92024
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
760-203-3839
Provider Business Mailing Address Fax Number:
760-203-3840

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
561 SAXONY PLACE
Provider Second Line Business Practice Location Address:
SUITE 102
Provider Business Practice Location Address City Name:
ENCINITAS
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92024
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-203-3839
Provider Business Practice Location Address Fax Number:
760-203-3840
Provider Enumeration Date:
06/24/2015

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363L00000X , with the licence number:  8383 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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