Active NPI
Kimberly Dawn Keim, N.P.
- Family Nurse Practitioner
- Hermosa Beach, CA
National Provider Identifier
1023569555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- F0815757
- Practice address
- 555 Pier Ave
Suite E
Hermosa Beach, CA 90254-3839 - Phone
- (310) 374-6600
- Fax
- (310) 374-4448
- NPI assigned
- Oct 19, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | F0815757 | CA | Primary |
Addresses
Primary practice location
555 Pier Ave
Suite E
Hermosa Beach, CA 90254-3839
Mailing address
7004 Ramsgate Ave
Los Angeles, CA 90045-2218
Phone (713) 446-5865
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
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F0815757 | CA | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476835200000",
"number": "1023569555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7004 RAMSGATE AVE",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900452218",
"telephone_number": "713-446-5865",
"fax_number": "310-374-4448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 PIER AVE",
"address_2": "SUITE E",
"city": "HERMOSA BEACH",
"state": "CA",
"postal_code": "902543839",
"telephone_number": "310-374-6600",
"fax_number": "310-374-4448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEIM",
"first_name": "KIMBERLY",
"middle_name": "DAWN",
"name_prefix": "Ms.",
"credential": "N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-10-19",
"last_updated": "2016-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "F0815757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hermosa Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.