Beverly Jeanne Kemmerling, ANP-C

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

RN435904 Issued in CA

Practice address

26455 Rockwell Canyon Rd
Coc Student Health & Wellness Center
Santa Clarita, CA 91355-1803

Phone

(661) 362-3259

Fax

(661) 362-5051

NPI assigned

Aug 19, 2005

Last updated

Mar 7, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1083606438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3270 VALEWOOD CIR",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913602865",
            "telephone_number": "805-405-9883",
            "fax_number": "661-362-5051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26455 ROCKWELL CANYON RD",
            "address_2": "COC STUDENT HEALTH & WELLNESS CENTER",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913551803",
            "telephone_number": "661-362-3259",
            "fax_number": "661-362-5051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEMMERLING",
        "first_name": "BEVERLY",
        "middle_name": "JEANNE",
        "credential": "ANP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-19",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "RN435904",
            "primary": true
        },
        {
            "code": "363LC1500X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Community Health",
            "state": "CA",
            "license": "RN435904",
            "primary": false
        },
        {
            "code": "363LX0106X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Occupational Health",
            "state": "CA",
            "license": "RN435904",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aram Hagop Kechichian, D.O.
• Justin Keehne, SUDRC
• Kristen Keldgord, MS, LMFT
• Isaac Kellogg, RBT
• Sheila Kelly, IMF
• Taylor Kemper
• Brian Keshish
• Lilit Keshishyan
• Keystone Hospice Care
• Shirin Khadem

• Adult Health Nurse Practitioner in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.

Verify at the official NPI Registry.