Individual provider Active NPI

Kimberly Sophia Nelson, MS MFT

  • Marriage & Family Therapist
  • Carlsbad, CA
National Provider Identifier
1083866230
Registry record updated Oct 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
45871 Issued in CA
Practice address
325 Carlsbad Village Dr
Suite F-2
Carlsbad, CA 92008-2928
Phone
(619) 280-3430
NPI assigned
Oct 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 45871 CA Primary

Addresses

Primary practice location

325 Carlsbad Village Dr
Suite F-2
Carlsbad, CA 92008-2928

Mailing address

2525 Camino del Rio S Ste 315
San Diego, CA 92108-3784
Phone (619) 280-3430

Other names 1

  • Miss Kimberly Sophia Kear Former name

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
Master of Science

State licenses

LicenseStateTypeSpecialty
45871CAMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224547200000",
    "number": "1083866230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 CAMINO DEL RIO S STE 315",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083784",
            "telephone_number": "619-280-3430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "325 CARLSBAD VILLAGE DR",
            "address_2": "SUITE F-2",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920082928",
            "telephone_number": "619-280-3430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "KIMBERLY",
        "middle_name": "SOPHIA",
        "name_prefix": "Mrs.",
        "credential": "MS MFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-21",
        "last_updated": "2008-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "45871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "KEAR",
            "middle_name": "SOPHIA",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carlsbad, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2008; 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.