Kimberly Mae Curtis

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

39275 Liberty St Ste D-12
Fremont, CA 94538-1519

Phone

(510) 742-3904

Fax

(510) 742-3912

NPI assigned

Sep 5, 2007

Last updated

Nov 3, 2009By 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

Other names 1

• Kimberly Mae Curtis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Goodness Village

  • Clinical Social Worker
  • Livermore, CA
  • NPI 1215805247
  NPD Authorized official

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

{
    "created_epoch": "1188950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257206400000",
    "number": "1780878520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39275 LIBERTY ST STE D-12",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381519",
            "telephone_number": "510-742-3904",
            "fax_number": "510-742-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39275 LIBERTY ST STE D-12",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381519",
            "telephone_number": "510-742-3904",
            "fax_number": "510-742-3912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CURTIS",
        "first_name": "KIMBERLY",
        "middle_name": "MAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-05",
        "last_updated": "2009-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "CURTIS",
            "middle_name": "MAE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Counselor in Fremont, CA
• Providers in Fremont, CA by specialty
• Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2009; 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.