KIMBERLY LYNN ANDERSON FNP-C NPI 1851308191

NPI Information

NPI: 1851308191
Provider Name: KIMBERLY LYNN ANDERSON, FNP-C
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
100 E NORTH ST
TAFT, CA
ZIP 93268
Phone: (661) 765-1935
Get Directions

Kimberly Lynn Anderson, FNP-C is a family nurse practitioner in Taft, CA. Kimberly Lynn Anderson, FNP-C NPI is 1851308191. 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:

100 E NORTH ST
TAFT, CA
ZIP 93268
Phone: (661) 765-1935
Fax: (661) 765-1928

The NPI 1851308191 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 8/1/2006 and was last updated on 3/7/2023.

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	363LF0000X	Nurse Practitioner	Family	5009812	NORTH CAROLINA	No
2	363LF0000X	Nurse Practitioner	Family	30006873	WASHINGTON	No
3	363LF0000X	Nurse Practitioner	Family	910	ALASKA	No
4	363LF0000X	Nurse Practitioner	Family	AP117527	TEXAS	No
5	363LP2300X	Nurse Practitioner	Primary Care	AP117527	TEXAS	No
6	363LF0000X	Nurse Practitioner	Family	17205	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	9087	OTHER	TEXAS	TEXAS BON RX AUTHORIZATION NUMBER
2	12650825	OTHER	ALASKA	CAQH
3	17205	OTHER	CALIFORNIA	CALIFORNIA BON NURSE PRACTITIONER
4	5009812	OTHER	NORTH CAROLINA	NC BON AUTHORIZATION TO PRESCRIBE
5	RN00151283	OTHER	WASHINGTON	WA STATE DOH RN LICENSE
6	AP30006873	OTHER	WASHINGTON	WA STATE DEPARTMENT OF HEALTH ARNP LICENSE
7	17205	OTHER	CALIFORNIA	CALIFORNIA BON NURSE PRACTITIONER FURNISHER
8	1023099	MEDICAID	ALASKA
9	5009812	OTHER	NORTH CAROLINA	NORTH CAROLINA NURSE PRACTITIONER LICENSE
10	AP117527	OTHER	TEXAS	BON NURSE PRACTITIONER LICENSE

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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