Kimberli Idona Roberts, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN196355 Issued in GA

Practice address

5935 Cornerstone CT W
Suite 300
San Diego, CA 92121-3737

Phone

(866) 687-7390

NPI assigned

Aug 24, 2008

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1219536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219536000000",
    "number": "1316194178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 BRIDLE CREEK DR SW",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300945697",
            "telephone_number": "202-549-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5935 CORNERSTONE CT W",
            "address_2": "SUITE 300",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921213737",
            "telephone_number": "866-687-7390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "KIMBERLI",
        "middle_name": "IDONA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-24",
        "last_updated": "2008-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN196355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joecellia Roberts
• John E Roberts, LCSW
• Joshua Dylan Roberts
• Karol Ann Roberts, M.A., CCC-SLP
• Kevin Roberts
• Kirsten Roberts, DPT
• Kisa Roberts, MS, PLPC
• Lawrence Roberts, M.D.
• Maddison Jean Roberts
• Mark Roberts Jr.

• Registered Nurse in San Diego, CA
• Providers in San Diego, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.