KIMBERLY LYNN HAUNER NP NPI 1295791432

NPI Information

NPI: 1295791432
Provider Name: KIMBERLY LYNN HAUNER, NP
Classification: Nurse Practitioner - 363LP0200X
Entity Type: Individual

Specialization: Pediatrics

PECOS Registration: Yes

Address:
1300 W LODI AVE
SUITE P
LODI, CA
ZIP 95242
Phone: (209) 369-7493
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Kimberly Lynn Hauner, NP is a pediatrics nurse practitioner in Lodi, CA. Kimberly Lynn Hauner, NP NPI is 1295791432. 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:

1300 W LODI AVE
SUITE P
LODI, CA
ZIP 95242-000
Phone: (209) 369-7493

The NPI 1295791432 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 4/25/2006 and was last updated on 5/11/2010.

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
1	163W00000X	Registered Nurse		RN488842	CALIFORNIA	No
2	363LP0200X	Nurse Practitioner	Pediatrics	NP11149	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	RN88842	MEDICAID	CALIFORNIA
2	Q54156	MEDICARE UPIN	CALIFORNIA

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: 4/28/2024

NPI Synchronization or Removal

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