Kimberly R York, RN
Individual provider Active NPI Community Health Registered Nurse · San Fidel, NM
NPI 1699967331 · NPPES record last updated Oct 27, 2007
Key facts
- NPI
- 1699967331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Community Health Registered Nurse 163WC1500X
- License
- 492058 (NY)
- Practice address
- 1-40 Exit 102
San Fidel, NM 87049-0130 - Phone
- (505) 552-5438
- Fax
- (505) 552-5811
- NPI assigned
- Aug 16, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 492058 | NY | MD | Community Health Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 492058 | NY | |
| Community Health Registered Nurse | 163WC1500X | 492058 | NY | Yes |
Addresses
Primary practice location
1-40 Exit 102
San Fidel, NM 87049-0130
Mailing address
PO Box 130
San Fidel, NM 87049-0130
Phone (505) 552-5438
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 492058 | Other | NY | NURSING |
Other names
- Kimberly R Phillips
Other providers in San Fidel, NM
- US Dept. Health & Human Services - Usphs Indian Health Services
- Amber D Vancamp
- Marina Veit
- Donald A Whiting III
- Melissa Y Wyaco
- Ezekiel Zamarripa
- Albert R. Zavatsky
All providers in San Fidel, NM · Community Health Registered Nurse in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.