Kimberlee Ann Lonergan, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP30002217 Issued in WA

Practice address

13531 Juanita Woodinville Way NE
Kirkland, WA 98034-5225

Phone

(425) 636-2400

Fax

(425) 636-2401

NPI assigned

Jun 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Kimberlee Ann Beckman Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1821033465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13531 JUANITA WOODINVILLE WAY NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980345225",
            "telephone_number": "425-636-2400",
            "fax_number": "425-636-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13531 JUANITA WOODINVILLE WAY NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980345225",
            "telephone_number": "425-636-2400",
            "fax_number": "425-636-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONERGAN",
        "first_name": "KIMBERLEE",
        "middle_name": "ANN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-18",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30002217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLEE",
            "last_name": "BECKMAN",
            "middle_name": "ANN",
            "credential": "ARNP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• John Robert Logan, D.C.
• Johnson E-Zye Loh, MD
• Julie Loh, B.SC.PHARM, RPH.
• Jacquelyn Marie Lombari, MS, CNS
• Katie London
• Alissa Long, RN
• Theresa Cronin Long, RN
• Longevity Laboratory, LLC
• Longevity Medical Clinic
• Mark L Looper, PT

• Nurse Practitioner in Kirkland, WA
• Providers in Kirkland, WA by specialty
• Nurse Practitioner in Washington

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