Lisa Kelllum, RN BSN PHN
NPI 1629107586 · Case Management Registered Nurse · San Diego, CA
Lisa Kelllum, RN BSN PHN is a Case Management Registered Nurse provider in San Diego, CA (NPI 1629107586).
Provider details
- NPI number
- 1629107586
- Entity type
- Individual
- Primary specialty
- Case Management Registered NurseNursing Service Providers
- Credential
- RN BSN PHN
- Sex
- Female
- Sole proprietor
- No
- License
- RN469227 (CA)
Specialties & taxonomies
Nursing Service Providers
Profile Score
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
Mailing address
Registry dates
- Enumerated
- 2007-03-05
- Last updated
- 2007-07-08
Frequently asked questions
- What is Lisa Kelllum's NPI number?
- Lisa Kelllum's National Provider Identifier (NPI) is 1629107586, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Lisa Kelllum's specialty?
- Lisa Kelllum is listed in the NPPES registry with a primary specialty of Case Management Registered Nurse (Nursing Service Providers).
- Where is Lisa Kelllum located?
- Lisa Kelllum's practice location on file with NPPES is 2440 Grand Ave, San Diego, CA 92109-4858.
- What is Lisa Kelllum's phone number?
- The practice phone number listed in the NPPES registry for Lisa Kelllum is (858) 490-4426.
- Is Lisa Kelllum's NPI active?
- Yes — Lisa Kelllum's NPI (1629107586) is active in the NPPES registry as of the last update on 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.