Kelly Roughgarden
NPI 1174077614 · Student in an Organized Health Care Education/Training Program · Stockton, CA
Kelly Roughgarden is a Student in an Organized Health Care Education/Training Program provider in Stockton, CA (NPI 1174077614).
Provider details
- NPI number
- 1174077614
- Entity type
- Individual
- Primary specialty
- Student in an Organized Health Care Education/Training ProgramStudent, Health Care
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
83% 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
Mailing address
Registry dates
- Enumerated
- 2016-08-13
- Last updated
- 2016-08-13
Frequently asked questions
- What is Kelly Roughgarden's NPI number?
- Kelly Roughgarden's National Provider Identifier (NPI) is 1174077614, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Roughgarden's specialty?
- Kelly Roughgarden is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program (Student, Health Care).
- Where is Kelly Roughgarden located?
- Kelly Roughgarden's practice location on file with NPPES is 5405 N Pershing Ave, Stockton, CA 95207-5451.
- What is Kelly Roughgarden's phone number?
- The practice phone number listed in the NPPES registry for Kelly Roughgarden is (209) 476-1959.
- Is Kelly Roughgarden's NPI active?
- Yes — Kelly Roughgarden's NPI (1174077614) is active in the NPPES registry as of the last update on 2016-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.