Kimberley Hoglund, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

RN5312761 Issued in CA

Practice address

2515 Mathews St
Berkeley, CA 94702-2008

Phone

(510) 504-8514

NPI assigned

Aug 18, 2022

Last updated

Aug 18, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 9

Addresses

Other identifiers 1

Other names 1

• Miss Kimberley Myers Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660780800000",
    "number": "1043938715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 MATHEWS ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947022008",
            "telephone_number": "510-504-8514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 MATHEWS ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947022008",
            "telephone_number": "510-504-8514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOGLUND",
        "first_name": "KIMBERLEY",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-18",
        "last_updated": "2022-08-18",
        "certification_date": "2022-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN532762",
            "primary": false
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "RN532761",
            "primary": false
        },
        {
            "code": "163WC1600X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Continuing Education/Staff Development",
            "state": "CA",
            "license": "RN532761",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "RN531761",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "CA",
            "license": "RN532761",
            "primary": false
        },
        {
            "code": "163WM1400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Nurse Massage Therapist (NMT)",
            "state": "CA",
            "license": "RN532761",
            "primary": false
        },
        {
            "code": "163WN1003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Nutrition Support",
            "state": "CA",
            "license": "RN532761",
            "primary": false
        },
        {
            "code": "163WP0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Pain Management",
            "state": "CA",
            "license": "RN532761",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Administrator",
            "state": "CA",
            "license": "RN5312761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RN532761",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLEY",
            "last_name": "MYERS",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Marianne Pia Hoenig, OD., MA., FAAO
• Catherine Morley Hoffman
• Ryan Charles Hoffman, LMFT
• Stacey A Hoffman, MFT
• Christa Hogan, PSYD
• Jose Carlo Hojilla, RN
• Holistic Honu Wellness Center
• Anya Rogala Holit-Gsell, ASW
• Jonathan A Hollander, MD
• Shari Hollander, R.D., CDE

• Administrator Registered Nurse in Berkeley, CA
• Providers in Berkeley, CA by specialty
• Administrator Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.