Kimberly Rebecca Rogan, RN

Primary specialty

Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X

License

785768 Issued in CA

Practice address

1535 Cress Way
Olivehurst, CA 95961-7434

Phone

(530) 218-4131

NPI assigned

Mar 8, 2011

Last updated

Mar 8, 2011By the provider in NPPES

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

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299542400000",
    "number": "1952609471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1535 CRESS WAY",
            "city": "OLIVEHURST",
            "state": "CA",
            "postal_code": "959617434",
            "telephone_number": "530-218-4131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1535 CRESS WAY",
            "city": "OLIVEHURST",
            "state": "CA",
            "postal_code": "959617434",
            "telephone_number": "530-218-4131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROGAN",
        "first_name": "KIMBERLY",
        "middle_name": "REBECCA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-08",
        "last_updated": "2011-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "CA",
            "license": "785768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Ramirez
• Ivette Raya
• Rosario Reyes
• Alyssa Marie Reynolds
• Anayeli Rodriguez Galindo
• Jason Michael Roper, MS
• Alicia Rosas Lule
• Alyssa E Ruiz, RD
• Ryan Sauer
• Diane C Schill, D.D.S

• Adult Psychiatric/Mental Health Registered Nurse in Olivehurst, CA
• Providers in Olivehurst, CA by specialty
• Adult Psychiatric/Mental Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2011; 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.