KELLY MARIE NICHOLAS-BORBOA
NPI 1386148229
Licensed Vocational Nurse in Escondido, CA

Q: What is Kelly Nicholas-borboa's NPI number?

The NPI number for Kelly Nicholas-borboa is 1386148229. It was assigned to this individual provider in the NPPES registry on March 23, 2018. The provider is also known as Kelly Dixon.

Q: What is Kelly Nicholas-borboa's specialty?

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

Active since March 23, 2018

490 N GRAPE ST, ESCONDIDO, CA 92025(760) 975-9939 Get Directions Write a Review

NPPES record last updated: March 22, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 22, 2023, Mar 23, 2018 (2 updates tracked since 2018).

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About Kelly Marie Nicholas-borboa NPPES

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

KELLY MARIE NICHOLAS-BORBOA (NPI 1386148229) is an individual licensed vocational nurse in Escondido, California, licensed in California (693512) and active in the NPI registry since March 2018. She maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1386148229

Entity TypeIndividualFemale

Primary Taxonomy164X00000X

Provider Legal NameKELLY MARIE NICHOLAS-BORBOA

Location Address490 N GRAPE STEscondido, CA 92025-3079

Mailing Address280 W Old Julian HwyRamona, CA 92065-2930 · (858) 964-8744

Phone(760) 975-9939

Sole ProprietorNo

Enumeration DateMarch 23, 2018

Last NPPES UpdateMarch 22, 20232 updates tracked since enumeration

NPPES CertifiedMarch 22, 2023

✔ NPI 1386148229 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 · 693512

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.

490 N GRAPE ST, Escondido, CA 92025

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Other Names 1

Former Name (1)Kelly Dixon

Secondary Practice Location 1

Location 17488 Calzada De La FuenteSan Diego, CA 92154-2717 · Phone (619) 661-5600

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.

STEPHANIE JANICE HOLLEY

Registered Nurse