DESTINY DAWN KIMMEL NP NPI 1285461053

NPI Information

  • NPI: 1285461053
  • Provider Name: DESTINY DAWN KIMMEL, NP
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3941 J ST STE 350
    SACRAMENTO, CA
    ZIP 95819
  • Phone: (916) 453-2500

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NPI Details

Destiny Dawn Kimmel, NP is a family nurse practitioner in Sacramento, CA with 2 years of experience. Destiny Dawn Kimmel, NP NPI is 1285461053. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3941 J ST STE 350
SACRAMENTO, CA
ZIP 95819-633
Phone: (916) 453-2500
Fax: (916) 456-1672

The NPI 1285461053 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/17/2024 and was last updated on 11/21/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamily95032121CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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