Kimberly S. Nissen, R.N.

Primary specialty

Infusion Therapy Registered NurseTaxonomy code 163WI0500X

License

RN532252 Issued in CA

Practice address

2815 Camino del Rio S
Suite 115
San Diego, CA 92108-3815

Phone

(619) 886-5057

Fax

(760) 458-4428

NPI assigned

Sep 13, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

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.

• Core Intravenous Solutions Inc

  • Infusion Therapy Clinic/Center
  • San Diego, CA
  • NPI 1245583509
  NPD (past) Authorized official
• Infusion Solutions of California, Inc

  • Infusion Therapy Clinic/Center
  • San Diego, CA
  • NPI 1275852444
  NPD (past)

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

{
    "created_epoch": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351123200000",
    "number": "1912257346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 881304",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921681304",
            "telephone_number": "619-886-5057",
            "fax_number": "760-458-4428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 CAMINO DEL RIO S",
            "address_2": "SUITE 115",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083815",
            "telephone_number": "619-886-5057",
            "fax_number": "760-458-4428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NISSEN",
        "first_name": "KIMBERLY",
        "middle_name": "S.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2012-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "CA",
            "license": "RN532252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyssa Nisperos
• Mary Joy Cava Nisperos, N.P.
• Beti Nissan, MD
• David Asher Nissan, MD
• Merna Nissan
• Sheryl Nissen, SLP
• Vicki I Nissen, LCSW
• Haley Nisson, CGC
• Kenneth S. Nitahara, MD
• Ariela Nitevich

• Infusion Therapy Registered Nurse in San Diego, CA
• Providers in San Diego, CA by specialty
• Infusion Therapy Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2012; 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.