Individual provider Active NPI

Nimool Keo Garcia, FNP

  • Family Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1730660341
Registry record updated Feb 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95009505 Issued in CA
Practice address
6234 N 1St St
Fresno, CA 93710-5446
Phone
(559) 435-5727
NPI assigned
Aug 22, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95009505 CA Primary

Addresses

Primary practice location

6234 N 1St St
Fresno, CA 93710-5446

Mailing address

3675 Bellaire Ave
Clovis, CA 93619-7259
Phone (559) 375-5651

Other practice location 1

3675 Bellaire Ave
Clovis, CA 93619-7259
Phone (559) 375-5651

Other names 1

  • Miss Nimool Keo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250808000601 CA Order and Referring Only - Nurse Practitioner 8729586839

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95009505CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Agnes Medical Center Past Accepting new patients
Diego G Allende a Medical Corporation Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nimool.garcia.8@17371.direct.athenahealth.com

Organizations & group practices 2

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": "1534896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550016000000",
    "number": "1730660341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3675 BELLAIRE AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936197259",
            "telephone_number": "559-375-5651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6234 N 1ST ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105446",
            "telephone_number": "559-435-5727"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3675 Bellaire Ave",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936197259",
            "country_code": "US",
            "telephone_number": "559-375-5651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "NIMOOL",
        "middle_name": "KEO",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-22",
        "last_updated": "2019-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95009505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIMOOL",
            "last_name": "KEO",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.