Kimberly Edith Hathcock

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

APN00424 Issued in NV

Practice address

5250 Neil Rd
Ste 207
Reno, NV 89502-6556

Phone

(775) 334-4178

Fax

(775) 328-1201

NPI assigned

Jul 8, 2006

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)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515369600000",
    "number": "1609809128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "586 VENTURACCI LN",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894065753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 NEIL RD",
            "address_2": "STE 207",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895026556",
            "telephone_number": "775-334-4178",
            "fax_number": "775-328-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HATHCOCK",
        "first_name": "KIMBERLY",
        "middle_name": "EDITH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2018-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NV",
            "license": "APN00424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela A Hassler, PA-C
• Dulynn Hastings, M.D.
• Robert William Hastings III, M.D.
• Preston McKay Hatch, D.O.
• Zsazsarae Hatcher
• Gina Hatheway
• Victoria Hatton
• Lena Hatzidopavlakis
• Camilla Mauck Hauck, RPH
• Anna Haugland

• Gerontology Nurse Practitioner in Reno, NV
• Providers in Reno, NV by specialty
• Gerontology Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2018; 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.