Samantha Lynn Kimizuka, DNP, APRN, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

888245 Issued in NV

Practice address

7111 S Virginia St Ste A7
Reno, NV 89511-1183

Phone

(775) 851-5700

NPI assigned

Apr 30, 2025

Sex

Female

Sole proprietor

No

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

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71924

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.

• Reno Family Physicians Jennifer Hornback MD, Etal,LTD

  • Family Medicine Physician
  • Reno, NV
  • NPI 1487690350
  Medicare reassignment NPD

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

{
    "created_epoch": "1745971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745971200000",
    "number": "1154119907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5251 PALO ALTO CIR",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894363618",
            "telephone_number": "775-742-8320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 S VIRGINIA ST STE A7",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895111183",
            "telephone_number": "775-851-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMIZUKA",
        "first_name": "SAMANTHA",
        "middle_name": "LYNN",
        "credential": "DNP, APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-30",
        "last_updated": "2025-04-30",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "888245",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keneisha Ruby Kimbell
• Matthew Kimber
• Kimberlee Charles, MD, LLC
• Kimcole Inc
• Kime Performance Nevada LLC
• Thea Grandi Kimura, RD
• Kristie Kay Kinder
• Dalisha Kindle
• Kindred Care Chiropractic LLC
• Jason Lawrence Kiner, M.D.

• Nurse Practitioner in Reno, NV
• Providers in Reno, NV by specialty
• Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.