Destiny Kolkman

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

Practice address

615 Tamsen Rd
Fernley, NV 89408-9129

Phone

(775) 870-0882

NPI assigned

Aug 14, 2024

Last updated

Aug 14, 2024By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1723593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1265264741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 TAMSEN RD",
            "city": "FERNLEY",
            "state": "NV",
            "postal_code": "894089129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 TAMSEN RD",
            "city": "FERNLEY",
            "state": "NV",
            "postal_code": "894089129",
            "telephone_number": "775-870-0882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLKMAN",
        "first_name": "DESTINY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-14",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerie Justus Morgan, RN
• David Kahn, D.C.
• Shari Kassebaum
• Kimberly Brown Counseling Services
• Gregory S Koenig, O.D.
• Kristina J Rhodes OD LTD (revolutionEYES)
• Laken Alyss-Mitchell Kurth, PHARMD, RPH
• Stephanie J Lashuk
• Kristin Anne Laxalt, M.D.
• Bridgette Lesar, P.T.

• Personal Care Attendant in Fernley, NV
• Providers in Fernley, NV by specialty
• Personal Care Attendant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; 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.