Kimberly Ann Guevarra, RN, MSN, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

17655 Issued in CA

Practice address

2515 McCabe Way Ste 350
Irvine, CA 92614-9403

Phone

(949) 753-1663

NPI assigned

Mar 28, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science - Nursing, Registered Nurse

State licenses

Practice roles

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

• Irvine Center for Clinical Research, Inc.

  • Research Clinic/Center
  • Irvine, CA
  • NPI 1437536513
  NPD (past)

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553731200000",
    "number": "1144781493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 MCCABE WAY STE 350",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926149403"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 MCCABE WAY STE 350",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926149403",
            "telephone_number": "949-753-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEVARRA",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "RN, MSN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-28",
        "last_updated": "2019-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "671476",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "17655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikailah Guerrero
• Janae Guevara, M.A. CCC-SLP
• Natalie Nichole Guevara
• Whitney Maribel Guevara
• Joseph Guevarra
• Lillian Jermelle Guidry
• Coriana Guild
• Madeleine Guilin, PA-C
• Alexandria Danielle Guillory
• Julia Guimaraes

• Nurse Practitioner in Irvine, CA
• Providers in Irvine, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; 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.