KIMBERLY S. NISSEN (NPI# 1912257346) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912257346 |
| Entity Type | Individual |
| Full Name | KIMBERLY S. NISSEN |
| Credential | R.N. |
| Practice Address |
2815 Camino Del Rio S Suite 115 San Diego CA 92108-3815 |
| Mailing Address |
Po Box 881304 San Diego CA 92168-1304 |
| Practice Telephone | 6198865057 |
| Practice Fax Number | 7604584428 |
| Mailing Telephone | 6198865057 |
| Mailing Fax Number | 7604584428 |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2012-10-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WI0500X |
Registered Nurse Specialization: Infusion Therapy |
RN532252 | CA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508013111 | Kimberly Lynn Nissen | Pharmacist | 100 N Academy Ave, Pharmacy 42-01, Danville, PA 17822-9800 | 2008-08-26 |
| Street Address |
2815 CAMINO DEL RIO S SUITE 115 |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92108-3815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407932312 | Neurodynamics Inc | Audiologist | 2815 Camino Del Rio S, Ste 220, San Diego, CA 92108-3815 | 2006-10-31 |
| 1851703680 | Brian Anthony Scalone | Audiologist | 2815 Camino Del Rio S, #220, San Diego, CA 92108-3815 | 2014-05-28 |
| 1902115066 | Melanie Venne | Audiologist | 2815 Camino Del Rio S, Suite 220, San Diego, CA 92108-3815 | 2010-10-06 |
| 1255599221 | Carolyn Rose Bower | Audiologist | 2815 Camino Del Rio S, Suite 220, San Diego, CA 92108-3815 | 2008-05-27 |
| 1477731057 | Robert Kareem Smith | Audiologist | 2815 Camino Del Rio S, Suite 220, San Diego, CA 92108-3815 | 2008-02-05 |
| 1215003553 | Audioscope Audiology Group Apc | Audiologist-Hearing Aid Fitter | 2815 Camino Del Rio S, Suite 220, San Diego, CA 92108-3815 | 2006-11-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952902801 | Keri Castaneda | Behavior Technician | 025 Camino Del Rio South Suite 101, San Diego, CA 92108 | 2020-11-06 |
| 1457963738 | Diyana Giorgees | Case Manager/Care Coordinator | 5005 Texas Street, St. 203, San Diego, CA 92108 | 2020-08-19 |
| 1780211896 | Lori Mildred Jerman | Marriage & Family Therapist | Healthy Minds Counseling Services, 1455 Frazee Road, Suite 880, San Diego, CA 92108 | 2020-03-26 |
| 1285260737 | Demetrius Anderson | Counselor | Telecare Corporation Ihot, 1660 Hotel Circle North, Suite 101, San Deigo, CA 92108 | 2020-03-17 |
| 1033742465 | Dasc Medical Inc | Durable Medical Equipment & Medical Supplies | 5520 Gill Village Way, 907, San Diego, CA 92108 | 2020-02-13 |
| 1508401092 | Chanda Denee Kizer | Marriage & Family Therapist | 3517 Camino Del Rio N, Suite 407, San Diego, CA 92108 | 2019-11-08 |
| 1225695562 | Jenna Rose Shurer | Nurse Practitioner | 5030 Camino De La Siesla Ste 106, San Diego, CA 92108 | 2019-05-22 |
| 1952967812 | Martha Kebede Mekonen | Chiropractor | 2667 Camino Del Rio South, Suite #313, San Diego, CA 92108 | 2019-05-16 |
| 1053886135 | Andrea Jiselly Munoz | Behavior Technician | 3505 Camino Del Rio South, Suite 200, San Diego, CA 92108 | 2018-10-04 |
| 1386128916 | Sarah Elisabeth Smith | Counselor | 7575 Metropolitan Dr., San Diego, CA 92108 | 2018-09-19 |
| Find all providers in zip 92108 | ||||
| Taxonomy Code | 163WI0500X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Infusion Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467019141 | Cheryl Ann Burnett | Registered Nurse | 5601 De Soto Ave Rm 420, Woodland Hills, CA 91367-6798 | 2019-05-28 |
| 1013402163 | Lab Prc LLC | Registered Nurse | 27901 Jefferson Ave Ste 101, Temecula, CA 92590-6613 | 2018-06-29 |
| 1861908022 | Jill Bright | Registered Nurse | 2160 Burlwood Dr, Hollister, CA 95023-7547 | 2017-12-22 |
| 1184135402 | Diana Panitz | Registered Nurse | 13027 Hadley St, Whittier, CA 90601-4206 | 2017-10-12 |
| 1457800112 | Pamela S Cornell | Registered Nurse | 18268 Pine Bark Ln, Mokelumne Hill, CA 95245-9654 | 2016-09-22 |
| 1649629205 | Michelle Annette Gorman | Registered Nurse | 2981 Sandstone St, Turlock, CA 95382-7387 | 2016-06-05 |
| 1184095119 | Therese Villanueva | Registered Nurse | 27281 Golden Willow Way, Santa Clarita, CA 91387-2400 | 2015-10-16 |
| 1184012072 | Reynaldo M Sy | Registered Nurse | 35080 Chandler Ave Spc 68, Calimesa, CA 92320-1928 | 2014-12-31 |
| 1912395906 | Phalla Ouk | Registered Nurse | 2215 Lydia Bradley St, Stockton, CA 95206-6135 | 2014-12-29 |
| 1518365329 | Deborah Dowlatabadi | Registered Nurse | 1791 Dalton Pl, San Jose, CA 95124-5702 | 2014-12-10 |
| Find all providers with the same taxonomy | ||||
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| 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.