Kim Dorothy Dannenberg, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

10813 Issued in CA

Practice address

1049 Brookview Ave
Westlake Village, CA 91361-1624

Phone

(805) 490-3232

NPI assigned

Nov 5, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1541376000000",
    "number": "1982172201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1049 BROOKVIEW AVE",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913611624",
            "telephone_number": "805-490-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 BROOKVIEW AVE",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913611624",
            "telephone_number": "805-490-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANNENBERG",
        "first_name": "KIM",
        "middle_name": "DOROTHY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-05",
        "last_updated": "2018-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "10813",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "10813",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "10813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Elizabeth Dahlin, M.D.
• Judiann Rgoei Dakoske, MA
• Thomas John Dakoske, PSYCHOLOGIST
• Chelsea Daley
• Emma Dangaard, ACSW
• Daphne I Panagotacos MD
• Daphne I Panagotacos MD
• John Joseph Darin, M.D.
• Darren Osterloh OD Inc
• Brett Darrington, D.C.

• Nurse Practitioner in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2018; 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.