Active NPI
Kimberley Ann Schorr, APRN, MPH
- Nurse Practitioner
- Santa Rosa, CA
National Provider Identifier
1881830743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP4728
- Practice address
- 3883 Airway Dr Ste 165
Santa Rosa, CA 95403 - Phone
- (707) 521-7799
- Fax
- (707) 573-5431
- NPI assigned
- Dec 24, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP4728 | CA | Primary |
Addresses
Primary practice location
3883 Airway Dr Ste 165
Santa Rosa, CA 95403
Mailing address
325 Distel Cir
Los Altos, CA 94022-1408
Phone (707) 521-7799
Other practice location 1
1178 Kinoole St
Hilo, HI 96720-7206
Phone (808) 961-4072
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NP4728 | Other | CA | STATE MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.77 of 100
- Quality
- 81.54
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP4728 | CA | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1573516800000",
"number": "1881830743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "325 DISTEL CIR",
"city": "LOS ALTOS",
"state": "CA",
"postal_code": "940221408",
"telephone_number": "707-521-7799",
"fax_number": "707-573-5431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3883 AIRWAY DR STE 165",
"city": "SANTA ROSA",
"state": "CA",
"postal_code": "95403",
"telephone_number": "707-521-7799",
"fax_number": "707-573-5431"
}
],
"practiceLocations": [
{
"address_1": "1178 Kinoole St",
"address_purpose": "LOCATION",
"city": "Hilo",
"state": "HI",
"postal_code": "967207206",
"country_code": "US",
"telephone_number": "808-961-4072",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHORR",
"first_name": "KIMBERLEY",
"middle_name": "ANN",
"credential": "APRN, MPH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-24",
"last_updated": "2019-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "NP4728",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "NP4728",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Santa Rosa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.