Kimberly Warden, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

16300 Issued in CA

Practice address

500 Jefferson Blvd Ste B180
West Sacramento, CA 95605-2394

Phone

(916) 403-2900

NPI assigned

Nov 3, 2006

Last updated

Mar 31, 2023By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

• Direct secure messaging: kimberly.warden@cchcyolo.eclinicaldirectplus.com
• Direct secure messaging: kwarden704153@direct.ochin.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ole Health

  dba CommuniCare OLE

  • Federally Qualified Health Center (FQHC)
  • Davis, CA
  • NPI 1558366823
  Medicare reassignment NPD
• Ole Health

  dba CommuniCare OLE

  • Federally Qualified Health Center (FQHC)
  • West Sacramento, CA
  • NPI 1881330579
  NPD
• Ole Health

  dba CommuniCare OLE

  • Federally Qualified Health Center (FQHC)
  • West Sacramento, CA
  • NPI 1710087515
  NPD (past)

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1437238953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1260",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956171260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 JEFFERSON BLVD STE B180",
            "city": "WEST SACRAMENTO",
            "state": "CA",
            "postal_code": "956052394",
            "telephone_number": "916-403-2900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2040 Sutter Pl",
            "address_purpose": "LOCATION",
            "city": "Davis",
            "state": "CA",
            "postal_code": "956166201",
            "country_code": "US",
            "telephone_number": "530-758-2060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARDEN",
        "first_name": "KIMBERLY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "650976",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "16300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Borella Walker
• Deborah Wallace
• Walmart Inc. (Walmart Pharmacy 10-3652)
• Matthew Logan Wampler, OD
• Long Wang, PHD, RDN, FAND
• Washington Unified School District
• Kaitlyn Wassermann
• Josiah Webb
• Laura Weigel, BCBA
• Chloe Rose Weight

• Family Nurse Practitioner in West Sacramento, CA
• Providers in West Sacramento, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2023; 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.