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LISA KELLLUM RN BSN PHN
NPI 1629107586
Registered Nurse - Case Management in San Diego, CA

Active since March 05, 2007
2440 GRAND AVE, SAN DIEGO, CA 92109(858) 490-4426 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Lisa Kelllum Rn Bsn Phn NPPES

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

LISA KELLLUM RN BSN PHN (NPI 1629107586) is an individual case management provider in San Diego, California, licensed in California (RN469227) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1629107586
Entity TypeIndividualFemale
Primary Taxonomy163WC0400X
Provider Legal NameLISA KELLLUMCredential: RN BSN PHN
Location Address2440 GRAND AVESan Diego, CA 92109-4858
Mailing Address2440 Grand AveSan Diego, CA 92109-4858 · (858) 490-4426
Phone(858) 490-4426
Sole ProprietorNo
Enumeration DateMarch 5, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1629107586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Case ManagementNursing Service Providers
Taxonomy Code163WC0400X
License✔ Licensed in CA · RN469227
2440 GRAND AVE, San Diego, CA 92109
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Other Providers at the Same Location NPPES 10

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

BARBARA SCHIPKE
Registered Nurse (Case Management)
2440 GRAND AVE
SAN DIEGO, CA 92109
San Diego County (858) 490-4430
MS. CARMEN BALLESTERO RODRIGUEZ R.N.
Registered Nurse (Community Health)
2440 GRAND AVE
SAN DIEGO, CA 92109
San Diego County (858) 490-4400
MS. DEBBIE M. PASAMONTE PHN IV
Registered Nurse
2440 GRAND AVE
SAN DIEGO, CA 92109
San Diego County (858) 490-4429
QUYNH-NGA BUI GREDIG RN, MPH, MS
Registered Nurse (Maternal Newborn)
2440 GRAND AVE
SAN DIEGO, CA 92109
San Diego County (858) 490-4427
MS. ANNA LYNNE SHERROD RN
Registered Nurse (Community Health)
2440 GRAND AVE
SAN DIEGO, CA 92109
San Diego County (858) 490-4439
MRS. KAY BOWMAN SCAVULLI RN
Registered Nurse
2440 GRAND AVE
SAN DIEGO, CA 92109
San Diego County (858) 490-4428
REGINA SANDOVAL RN, PHN
Registered Nurse (Maternal Newborn)
2440 GRAND AVE
SAN DIEGO, CA 92109
San Diego County (858) 490-4424
WHITNEY PINTO RN, PHN
Registered Nurse
2440 GRAND AVE
SAN DIEGO, CA 92109
San Diego County (858) 490-4431

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 Lisa Kelllum's NPI number?

The NPI number for Lisa Kelllum is 1629107586. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Lisa Kelllum located?

Lisa Kelllum practices at 2440 Grand Ave, San Diego, CA 92109. The listed phone number is (858) 490-4426.

What is Lisa Kelllum's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Case Management, with taxonomy code 163WC0400X.

When was this NPI record last updated?

The NPPES record for Lisa Kelllum was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.