Individual provider Active NPI

Kimberly Joanne Reisiger, M.S., CGC

  • Genetic Counselor (M.S.)
  • Mountain View, CA
National Provider Identifier
1730303405
Registry record updated Feb 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
License
GC000207 Issued in CA
Practice address
2485 Hospital Dr
Suite 231
Mountain View, CA 94040-4101
Phone
(650) 404-8210
NPI assigned
Apr 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.) 170300000X 2005103 CA
Genetic Counselor (M.S.) 170300000X GC000207 CA Primary

Addresses

Primary practice location

2485 Hospital Dr
Suite 231
Mountain View, CA 94040-4101

Mailing address

2350 W El Camino Real
2ND Floor
Mountain View, CA 94040-6201

Other names 1

  • Kimberly Joanne Greer Former name

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)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2005103CAMDGenetic Counselor (M.S.)
GC000207CAMDGenetic Counselor (M.S.)

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation Past Accepting new patients
Tennessee Oncology PLLC Past Accepting new patients
Sutter Bay Medical Foundation Past Accepting new patients

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361491200000",
    "number": "1730303405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 W EL CAMINO REAL",
            "address_2": "2ND FLOOR",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940406201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2485 HOSPITAL DR",
            "address_2": "SUITE 231",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404101",
            "telephone_number": "650-404-8210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REISIGER",
        "first_name": "KIMBERLY",
        "middle_name": "JOANNE",
        "credential": "M.S., CGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-12",
        "last_updated": "2013-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "CA",
            "license": "2005103",
            "primary": false
        },
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "CA",
            "license": "GC000207",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "GREER",
            "middle_name": "JOANNE",
            "credential": "M.S., CGC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2013; 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.