Individual provider Active NPI

Kimberly K Fields, CNA

  • Nurse's Aide
  • Laguna Hills, CA
National Provider Identifier
1689422610
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
01291174 Issued in CA
Practice address
23232 Peralta Dr Ste 107
Laguna Hills, CA 92653-1436
Phone
(949) 878-6127
NPI assigned
May 6, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's AideGroup: 193200000X MULTI-SPECIALTY GROUP 376K00000X 01291174 CA Primary

Addresses

Primary practice location

23232 Peralta Dr Ste 107
Laguna Hills, CA 92653-1436

Mailing address

23232 Peralta Dr Ste 107
Laguna Hills, CA 92653-1436
Phone (949) 878-6127

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
The United Network (America) CurrentSince Oct 8, 2023 Accepting new patients
Place of Peace and Recovery CurrentSince May 12, 2024 Accepting new patients
The United Network America CurrentSince Oct 8, 2023 Accepting new patients

Locations

23232 Peralta Dr
Ste 107
Laguna Hills, CA 92653
Phone (949) 878-6127

23232 Peralta Dr
Ste 108
Laguna Hills, CA 92653
Phone (949) 334-0638

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1689422610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23232 PERALTA DR STE 107",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531436",
            "telephone_number": "949-878-6127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23232 PERALTA DR STE 107",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531436",
            "telephone_number": "949-878-6127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "KIMBERLY",
        "middle_name": "K",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse's Aide",
            "state": "CA",
            "license": "01291174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.