Kimberly McMullen

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

484 Oak St
San Francisco, CA 94102-5610

Phone

(415) 626-5199

NPI assigned

Oct 21, 2009

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

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.

• Baker Places, Inc.

  • Community/Behavioral Health Agency
  • San Francisco, CA
  • NPI 1891832085
  NPD (past)

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256083200000",
    "number": "1992031272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 N CLAREMONT ST",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "484 OAK ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941025610",
            "telephone_number": "415-626-5199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMULLEN",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-21",
        "last_updated": "2009-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shaakira McMillon
• Gina Lee McMorris-Jones
• Ashley McMullen, M.D.
• James McMullen, MD
• Joanna McMullen
• Linda Zhou McMullen, FNP-C
• William McMullen, PHD
• Christopher McMullin, M.S.
• Edward McMullin
• Ruth Carol McMyn, RN

• All providers in San Francisco, CA
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; 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.