Lee Kimball

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

891 Mountain Ranch Rd
San Andreas, CA 95249-9713

Phone

(209) 754-6734

NPI assigned

Oct 18, 2018

Last updated

Oct 18, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539820800000",
    "number": "1740756691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18717 MILL VILLA RD SPC 126",
            "city": "JAMESTOWN",
            "state": "CA",
            "postal_code": "953279353",
            "telephone_number": "209-352-1933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "891 MOUNTAIN RANCH RD",
            "city": "SAN ANDREAS",
            "state": "CA",
            "postal_code": "952499713",
            "telephone_number": "209-754-6734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBALL",
        "first_name": "LEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-18",
        "last_updated": "2018-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise L Keiser
• Dean Matthew Kelaita, M.D.
• Shannon Kelaita
• Christine Jan Khan
• Michael Dennis Kifune, MD
• Regina Elizabeth King, SLP
• Marin Koorkoff, MFTI
• Matthew Joshua King-Lung Kor, MD
• Kathryn Krayk, RN
• Sara Toni Lashley, C.M.T., L.L.C.C.

• Case Manager/Care Coordinator in San Andreas, CA
• Providers in San Andreas, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; 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.