Kimberly Nicole Rumack Crowley, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC32133 Issued in CA

Practice address

2877 Lake Tahoe Blvd.
Suite B
South Lake Tahoe, CA 96151

Phone

(530) 494-3929

Fax

(530) 544-5306

NPI assigned

Dec 13, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Kimberly Nicole Rumack Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546992000000",
    "number": "1801164280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 8496",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "96158",
            "telephone_number": "530-307-2310",
            "fax_number": "530-544-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2877 LAKE TAHOE BLVD.",
            "address_2": "SUITE B",
            "city": "SOUTH LAKE TAHOE",
            "state": "CA",
            "postal_code": "96151",
            "telephone_number": "530-494-3929",
            "fax_number": "530-544-5306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROWLEY",
        "first_name": "KIMBERLY",
        "middle_name": "NICOLE RUMACK",
        "name_prefix": "Mrs.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-13",
        "last_updated": "2019-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32133",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC32133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "RUMACK",
            "middle_name": "NICOLE",
            "prefix": "MS.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• William Hershel Cottrell, MD
• County of El Dorado
• Christopher Howard Cromwell, BACHELORS OF ARTS
• Linda D Cromwell, B.S.N., R.N., P.H.N
• Jason Crowley, FNP, DC
• Grace Cullen
• Erica Cusick, DO
• Karen Kristie Daly, MSN, RN, PHN
• Ha Dang, ND, LAC
• Sara Colleen Daniel

• Chiropractor in South Lake Tahoe, CA
• Providers in South Lake Tahoe, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.