Kimberly Taniguchi, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95006663 Issued in CA

Practice address

9045 Bruceville Rd Ste 100
Elk Grove, CA 95758-5950

Phone

(916) 479-9110

NPI assigned

May 25, 2017

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1495670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1760910376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 FERMI PL STE 105",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956189411",
            "telephone_number": "530-759-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9045 BRUCEVILLE RD STE 100",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957585950",
            "telephone_number": "916-479-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANIGUCHI",
        "first_name": "KIMBERLY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-25",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95006663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nesar Ahmad Tamkin Sr.
• Desmond T.Y. Tan, M.D.
• Huey Peing Tan
• Richard Tang
• Van My Tang
• Patricia A Tansey, M.D.
• Sofia Tapia
• Sana Taraki
• Michael Nolan Tarr, PHYSICAL THERAPIST
• Taryn Davis Chiropractic Corporation

• Family Nurse Practitioner in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.