Active NPI
Kimberlee Julianne Reese
- Social Worker
- Fairfield, CA
National Provider Identifier
1003049495
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 76822
- Practice address
- 1234 Empire St
Fairfield, CA 94533-5711 - Phone
- (510) 342-2723
- NPI assigned
- Sep 1, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 76822 | CA | Primary |
| Clinical Social Worker | 1041C0700X | 76822 | CA |
Addresses
Primary practice location
1234 Empire St
Fairfield, CA 94533-5711
Mailing address
1234 Empire St
Fairfield, CA 94533-5711
Phone (510) 342-2723
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684281600000",
"number": "1003049495",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1234 EMPIRE ST",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945335711",
"telephone_number": "510-342-2723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1234 EMPIRE ST",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945335711",
"telephone_number": "510-342-2723"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REESE",
"first_name": "KIMBERLEE",
"middle_name": "JULIANNE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-01",
"last_updated": "2023-05-17",
"certification_date": "2023-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "76822",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "76822",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.