IndividualActive
Kathleen Ellstrom, PHD, RN, APRN,BC
NPI 1023023728 · Medical-Surgical Clinical Nurse Specialist · Loma Linda, CA
Provider details
- NPI number
- 1023023728
- Entity type
- Individual
- Primary specialty
- Medical-Surgical Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PHD, RN, APRN,BC
- Sex
- Female
- Sole proprietor
- No
- License
- 539 (CA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
11201 Benton St
111p
Loma Linda, CA 92357-1000
Phone: (909) 583-6095
Fax: (909) 777-3214
Street-level locationGet directions
Mailing address
22595 Cardinal St
Grand Terrace, CA 92313-5732
Registry dates
- Enumerated
- 2006-07-30
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.