Active NPI
Kimberly Ladine, RN
- Registered Nurse
- Modesto, CA
National Provider Identifier
1962898288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 95052167
- Practice address
- 1700 Coffee Rd
Modesto, CA 95355-2803 - Phone
- (209) 526-4500
- NPI assigned
- Apr 14, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95052167 | CA | Primary |
Addresses
Primary practice location
1700 Coffee Rd
Modesto, CA 95355-2803
Mailing address
2700 Ball CT
Turlock, CA 95382-1009
Phone (209) 202-6744
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95052167 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428969600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491091200000",
"number": "1962898288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 BALL CT",
"city": "TURLOCK",
"state": "CA",
"postal_code": "953821009",
"telephone_number": "209-202-6744"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 COFFEE RD",
"city": "MODESTO",
"state": "CA",
"postal_code": "953552803",
"telephone_number": "209-526-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LADINE",
"first_name": "KIMBERLY",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-14",
"last_updated": "2017-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95052167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
- Whitney Gayle Laclair, D.O.
- Eduardo Malvin Bueno Lacuna Jr., MD
- Eunice Lacuzong-Rios
- Erik Rittenhouse Lacy, M.D
- Salman Ladha, MD
- Hannah Laffoon
- Alyssa Briann Lagorio, CMT
- Lags Spine and Sportscare Medical Centers, Inc.
- Lags Spine and Sportscare Medical Centers, Inc.
- Lags Spine and Sportscare Medical Centers, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.