Active NPI
Kimberly Alice Nolan, NP
- Family Nurse Practitioner
- Reno, NV
National Provider Identifier
1912233198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APN001159
- Practice address
- 4385 Neil Rd Ste 105
Reno, NV 89502-5100 - Phone
- (775) 325-7851
- NPI assigned
- Oct 23, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 19383 | CA | |
| Family Nurse Practitioner | 363LF0000X | APN001159 | NV | Primary |
Addresses
Primary practice location
4385 Neil Rd Ste 105
Reno, NV 89502-5100
Mailing address
650 Ferrari McLeod Blvd
PO Box 11130
Reno, NV 89512-1060
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19383 | CA | MD | Family Nurse Practitioner |
| APN001159 | NV | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planned Parenthood Mar Monte, Inc. | Current | Accepting new patients | |
| Planned Parenthood Mar Monte Inc | Current | Accepting new patients | |
| Planned Parenthood Mar Monte Inc | Past | Accepting new patients | |
| Planned Parenthood Mar Monte, Inc | Past | Accepting new patients |
Locations
1691 The Alameda
San Jose, CA 95126
Phone (408) 287-7526
4385 Neil Rd
Ste 105
Reno, NV 89502
Phone (775) 325-7851
455 W 5th St
Reno, NV 89503
Phone (775) 688-5555
8025 S Virginia St
Reno, NV 89511
Phone (775) 688-5555
Interoperability endpoints
- kimberly.nolanapn.p1@direct.ppmarmonte.nextgenshare.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community Health Clinic/Center
- Reno, NV
- NPI 1497708770
-
- Community Health Clinic/Center
- San Jose, CA
- NPI 1598536971
-
- Community Health Clinic/Center
- Reno, NV
- NPI 1578516530
-
- Community Health Clinic/Center
- San Jose, CA
- NPI 1043263189
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344816000000",
"number": "1912233198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 FERRARI MCLEOD BLVD",
"address_2": "PO BOX 11130",
"city": "RENO",
"state": "NV",
"postal_code": "895121060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4385 NEIL RD STE 105",
"city": "RENO",
"state": "NV",
"postal_code": "895025100",
"telephone_number": "775-325-7851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLAN",
"first_name": "KIMBERLY",
"middle_name": "ALICE",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-23",
"last_updated": "2012-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "19383",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NV",
"license": "APN001159",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Reno, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.