KIMBERLY ANN DE JESUS GERALDEZ


Address: 201 S Buena Vista St Ste 100, Burbank, CA 91505-4570
Phone: 8185255123

KIMBERLY ANN DE JESUS GERALDEZ (NPI# 1851836894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851836894
Entity Type Individual
Full Name KIMBERLY ANN DE JESUS GERALDEZ
Credential N.P.
Practice Address 201 S Buena Vista St Ste 100
Burbank
CA 91505-4570
Practice Telephone 8185255123
Mailing Telephone 8185255123
Enumeration Date 2016-12-29
Last Update Date 2017-04-13
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LG0600X Nurse Practitioner
Specialization: Gerontology
95005055 CA Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 201 S BUENA VISTA ST STE 100
City BURBANK
State CA
Zip Code 91505-4570

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Taxonomy Information

Taxonomy Code 363LG0600X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Gerontology

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
1194226936 Eun Kyung Park Nurse Practitioner 209 W Alameda Ave Ste 101, Burbank, CA 91502-3023 2018-02-27
1366992489 Shawn O'malley Nurse Practitioner 365 W Linden Ave, Burbank, CA 91506-3319 2016-10-12

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NPI Name Taxonomy Address Enumeration
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Competitor

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City BURBANK
Zip Code 91505

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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