KELLY NORDSTROM LVN
NPI 1306371083
Licensed Vocational Nurse in San Diego, CA

Active since May 01, 2017
4974 EL CAJON BLVD, SUITE A, SAN DIEGO, CA 92115(619) 286-4600 Get Directions Write a Review

NPPES record last updated: May 1, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Nordstrom Lvn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY NORDSTROM LVN (NPI 1306371083) is an individual licensed vocational nurse in San Diego, California, licensed in California (VN 215014) and active in the NPI registry since May 2017.

NPPES Registry Identity

NPI1306371083
Entity TypeIndividualFemale
Primary Taxonomy164X00000X
Provider Legal NameKELLY NORDSTROMCredential: LVN
Location Address4974 EL CAJON BLVD, SUITE ASan Diego, CA 92115-4654
Mailing Address4974 El Cajon Blvd., Suite ASan Diego, CA 92115 · (619) 286-4600
Sole ProprietorYes
Enumeration DateMay 1, 2017
NPI 1306371083 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Vocational NurseNursing Service Providers
Taxonomy Code164X00000X
License Licensed in CA · VN 215014
Definition
A licensed vocational nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states.
4974 EL CAJON BLVD, San Diego, CA 92115

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
4974 EL CAJON BLVD, SUITE A
SAN DIEGO, CA 92115
Licensed Vocational Nurse
4974 EL CAJON BLVD, SUITE A
SAN DIEGO, CA 92115
Counselor (Addiction (Substance Use Disorder))
4974 EL CAJON BLVD
SAN DIEGO, CA 92115
Licensed Vocational Nurse
4974 EL CAJON BLVD
SAN DIEGO, CA 92115
Licensed Vocational Nurse
4974 EL CAJON BLVD, SUITE A
SAN DIEGO, CA 92115
Licensed Vocational Nurse
4974 EL CAJON BLVD, SUITE A
SAN DIEGO, CA 92115
Licensed Practical Nurse
4974 EL CAJON BLVD, SUITE A
SAN DIEGO, CA 92115
Licensed Practical Nurse
4974 EL CAJON BLVD, SUITE A
SAN DIEGO, CA 92115

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly Nordstrom's NPI number?

The NPI number for Kelly Nordstrom is 1306371083. It was assigned to this individual provider in the NPPES registry on May 1, 2017.

Where is Kelly Nordstrom located?

Kelly Nordstrom practices at 4974 El Cajon Blvd Suite A, San Diego, CA 92115. The listed phone number is (619) 286-4600.

What is Kelly Nordstrom's specialty?

The primary specialty registered for this NPI is Licensed Vocational Nurse with taxonomy code 164X00000X.

When was this NPI record last updated?

The NPPES record for Kelly Nordstrom was last updated on May 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.