Active NPI
Kimberly Rickman
- Day Training/Habilitation Specialist
- Santa Rosa, CA
National Provider Identifier
1386417368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Day Training/Habilitation Specialist
- Practice address
- 2245 Challenger Way Ste 100
Santa Rosa, CA 95407-5418 - Phone
- (707) 565-3926
- NPI assigned
- Nov 1, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Day Training/Habilitation Specialist | 373H00000X | CA | Primary |
Addresses
Primary practice location
2245 Challenger Way Ste 100
Santa Rosa, CA 95407-5418
Mailing address
2245 Challenger Way Ste 100
Santa Rosa, CA 95407-5418
Phone (707) 565-3926
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698796800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755216000000",
"number": "1386417368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2245 CHALLENGER WAY STE 100",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954075418",
"telephone_number": "707-565-3926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2245 CHALLENGER WAY STE 100",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "954075418",
"telephone_number": "707-565-3926"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICKMAN",
"first_name": "KIMBERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-11-01",
"last_updated": "2025-08-15",
"certification_date": "2025-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.