Individual provider Active NPI

Kimberly M Quintana, RN

  • Registered Nurse
  • Ogden, UT
National Provider Identifier
1881380160
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
8546712-3102 Issued in UT
Practice address
477 23Rd St
Ogden, UT 84401-1507
Phone
(801) 399-7250
Fax
(801) 399-7233
NPI assigned
Apr 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 8546712-3102 UT
Hemodialysis Registered Nurse 163WH0500X 8546712-3102 UT
Medical-Surgical Registered Nurse 163WM0705X 8546712-3102 UT
Registered Nurse 163W00000X 8546712-3102 UT Primary

Addresses

Primary practice location

477 23Rd St
Ogden, UT 84401-1507

Mailing address

477 23Rd St
Ogden, UT 84401-1507
Phone (801) 399-7250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
8546712-3102UTMDHemodialysis Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
County of Weber CurrentSince Apr 16, 2023 Accepting new patients

Locations

477 23rd St
Ogden, UT 84401
Phone (801) 399-7100

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1681171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681171200000",
    "number": "1881380160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "477 23RD ST",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844011507",
            "telephone_number": "801-399-7250",
            "fax_number": "801-399-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "477 23RD ST",
            "city": "OGDEN",
            "state": "UT",
            "postal_code": "844011507",
            "telephone_number": "801-399-7250",
            "fax_number": "801-399-7233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUINTANA",
        "first_name": "KIMBERLY",
        "middle_name": "M",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-11",
        "last_updated": "2023-04-11",
        "certification_date": "2023-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "UT",
            "license": "8546712-3102",
            "primary": false
        },
        {
            "code": "163WH0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hemodialysis",
            "state": "UT",
            "license": "8546712-3102",
            "primary": false
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "UT",
            "license": "8546712-3102",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "8546712-3102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ogden, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; 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.