1. Home
  2. Directory
  3. California
  4. San Mateo
  5. Student In An Organized Health Care Education Training Program
  6. NPI Profile

KENZIE BOHNSACK
NPI 1548718307
Student in an Organized Health Care Education/Training Program in San Mateo, CA

Active since September 21, 2016
400 PAUL SCANNELL DR, SAN MATEO, CA 94402(650) 312-8970 Get Directions Write a Review

NPPES record last updated: August 31, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 28, 2019, Sep 21, 2016 (2 updates tracked since 2016).

About Kenzie Bohnsack NPPES

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

KENZIE BOHNSACK (NPI 1548718307) is an individual student in an organized health care education/training program in San Mateo, California and active in the NPI registry since September 2016. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1548718307
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKENZIE BOHNSACK
Location Address400 PAUL SCANNELL DRSan Mateo, CA 94402-4062
Mailing Address610 Elm St Ste 212San Carlos, CA 94070-3070 · (650) 591-9623
Phone(650) 312-8970
Sole ProprietorNo
Enumeration DateSeptember 21, 2016
Last NPPES UpdateAugust 31, 20212 updates tracked since enumeration
NPPES CertifiedAugust 31, 2021
✔ NPI 1548718307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
400 PAUL SCANNELL DR, San Mateo, CA 94402
Open in Google Maps ↗

Other Names 1

Former Name (1)Kenzie Goedken

Secondary Practice Locations 2

Location 1609 Price Ave Ste 205Redwood City, CA 94063-1403 · Phone (650) 366-8436
Location 22005 Asbury RdDubuque, IA 52001-3042 · Phone (563) 583-7357 · Fax (563) 583-7026

Other Providers at the Same Location NPPES 2

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

SHEELA VASHISHTHA MSW
Counselor (Mental Health)
400 PAUL SCANNELL DR
SAN MATEO, CA 94402
San Mateo County (650) 312-5507
REBECCA GOOD
Student in an Organized Health Care Education/Training Program
400 PAUL SCANNELL DR
SAN MATEO, CA 94402
San Mateo County (650) 591-9623

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 Kenzie Bohnsack's NPI number?

The NPI number for Kenzie Bohnsack is 1548718307. It was assigned to this individual provider in the NPPES registry on September 21, 2016. The provider is also known as Kenzie Goedken.

Where is Kenzie Bohnsack located?

Kenzie Bohnsack practices at 400 Paul Scannell Dr, San Mateo, CA 94402. The listed phone number is (650) 312-8970.

What is Kenzie Bohnsack's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kenzie Bohnsack was last updated on August 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.