Kimberly Ann Covarrubias, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

250262 Issued in CA

Practice address

1646 S Court St
Visalia, CA 93277-4962

Phone

(559) 625-8890

NPI assigned

Jan 30, 2023

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1316653678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1247 S CEDAR CT",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932925208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1646 S COURT ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932774962",
            "telephone_number": "559-625-8890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COVARRUBIAS",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "250262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LVN LICENSE",
            "identifier": "250262",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• County of Tulare Health and Human Services Agency
• County of Tulare Health and Human Services Agency
• Gloria Isabel Court, LMFT
• Courtyard Surgery Pavilion, Inc (Courtyard Surgery Pavilion)
• Brittany Ann Covarrubias
• Raul Covarrubias
• Cynthia Ruth Coverston
• Shinesha Covington
• Kevin Brent Cowan, MD
• Mishel Cowart, LMFT

• Licensed Vocational Nurse in Visalia, CA
• Providers in Visalia, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.