Kimberly Tolentino, MA

Primary specialty

Other Specialist/TechnologistTaxonomy code 246Z00000X

Practice address

34716 1St Ave S
Suite a
Federal Way, WA 98387

Phone

(253) 517-7058

NPI assigned

Oct 20, 2015

Sex

Female

Sole proprietor

No

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

Master of Arts

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.

• Changa LLC

  • Family Medicine Physician
  • Federal Way, WA
  • NPI 1215658380
  NPD (past)
• Sound Internal Medicine Inc

  • Internal Medicine Physician
  • Federal Way, WA
  • NPI 1720258981
  NPD (past)

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

{
    "created_epoch": "1445299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445558400000",
    "number": "1932571718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34716 1ST AVE S",
            "address_2": "SUITE A",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "98387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34716 1ST AVE S",
            "address_2": "SUITE A",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "98387",
            "telephone_number": "253-517-7058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLENTINO",
        "first_name": "KIMBERLY",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-20",
        "last_updated": "2015-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "WA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Fujii Tobin, PA-C
• Melissa Anne Tobol, LMP
• Todd G. Yoshino DDS
• Ella Tokar
• Laura Tokhvre
• Phuong Toles
• Linsey Nicole Tomaro, PA-C
• Audrey Tomola, M.A.,CCC-SLP
• Jordyn Kay Tomyn, LMFT
• Ketaki Tongaonkar

• Other Specialist/Technologist in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Other Specialist/Technologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2015; 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.