Kimberly Drewrey, Aprn, NP-C

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

NP1103A Issued in ID

Legal business name

KIMBERLY DREWREY, APRN, NP-C

Doing business as

Treasure Valley Mobile Medicine

Practice address

5210 Cleveland Blvd
Suite 140 #344
Caldwell, ID 83607-1796

Phone

(208) 866-4962

NPI assigned

Jul 28, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimberly Drewrey, NP

Title

Nurse Practitioner, Business Owner

Phone

(208) 866-4962

Specialties & licenses 1

Addresses

Other names 1

• Treasure Valley Mobile Medicine Doing business as

Locations

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

{
    "created_epoch": "1469664000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469664000000",
    "number": "1679026447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5210 CLEVELAND BLVD",
            "address_2": "SUITE 140 #344",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836071796",
            "telephone_number": "208-866-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 CLEVELAND BLVD",
            "address_2": "SUITE 140 #344",
            "city": "CALDWELL",
            "state": "ID",
            "postal_code": "836071796",
            "telephone_number": "208-866-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY DREWREY, APRN, NP-C",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-28",
        "last_updated": "2016-07-28",
        "status": "A",
        "authorized_official_last_name": "DREWREY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "NURSE PRACTITIONER, BUSINESS OWNER",
        "authorized_official_telephone_number": "208-866-4962",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "ID",
            "license": "NP1103A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Treasure Valley Mobile Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Randon Kessinger
• Keven Freeman DMD PLLC
• Kevin Cotter Odpa
• Mark Keylor, LMSW
• Leila Khaddour, MD
• L. Mark Kimsey, M.D.
• Kindred Nursing Centers West, LLC
• Kindred Nursing Centers West, LLC
• Dawson King
• Robin King, D.C.

• Point of Service in Caldwell, ID
• Providers in Caldwell, ID by specialty
• Point of Service in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.