Individual provider Active NPI

Kimberly Alice Nolan, NP

  • Family Nurse Practitioner
  • Reno, NV
National Provider Identifier
1912233198
Registry record updated Aug 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN001159 Issued in NV
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

Updated by the provider on Aug 13, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111028000665 NV Practitioner - Nurse Practitioner 7618140153 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
19383CAMDFamily Nurse Practitioner
APN001159NVMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Mar Monte, Inc. CurrentSince Nov 1, 2011 Accepting new patients
Planned Parenthood Mar Monte Inc CurrentSince Nov 1, 2011 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.