Kimberly Dawn Cortez, AESTHETICIAN

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

License

001188028 Issued in TX

Practice address

14855 Blanco Rd
San Antonio, TX 78216-7732

Phone

(210) 461-0477

NPI assigned

Feb 15, 2009

Last updated

Apr 16, 2021By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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• Skin Bliss the Laser Spa Clinic & Aesthetics Institute

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

{
    "created_epoch": "1234656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618531200000",
    "number": "1093954034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5738 TIMBERHURST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782504177",
            "telephone_number": "210-461-0477",
            "fax_number": "210-680-9440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14855 BLANCO RD",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782167732",
            "telephone_number": "210-461-0477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5738 Timberhurst",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782504177",
            "country_code": "US",
            "telephone_number": "210-461-0477",
            "fax_number": "210-680-9440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORTEZ",
        "first_name": "KIMBERLY",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "AESTHETICIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-15",
        "last_updated": "2021-04-16",
        "certification_date": "2021-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "TX",
            "license": "001188028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Holly Danielle Cortez
• Joseph Edward Cortez, D.D.S.
• Julio Cesar Cortez, LVN
• Karla Emelina Cortez, MPH
• Katie Cortez
• Lauren Danielle Cortez, CCC-SLP
• Leticia R Cortez, COTA
• Lina Michelle Cortez, LCSW
• Lirio Cortez, RN
• Maribel Cortez, NP

• Other Specialist/Technologist in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Other Specialist/Technologist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2021; 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.