Kylie Marie Timmerman, RN
Registered Nurse, Community Health in Grass Valley, CA. Individual provider (NPI-1).
NPI number1003418658
StatusActive
Last updated in NPPESNov 9, 2020
Details
- NPI
- 1003418658
- Entity type
- Individual (NPI-1)
- Name
- Kylie Marie Timmerman
- Credential
- RN
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 9, 2020
- Certification date
- Nov 9, 2020
- Last updated
- Nov 9, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WC1500X | Registered Nurse, Community Health | 95133062 | CA | Yes |
Practice location
1350 E Main StGrass Valley, CA 95945-5208
Phone 530-477-9532
Mailing address
463 Buckeye StVacaville, CA 95688-2630
Phone 707-365-4694
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Community Health Registered Nurse providers in Grass Valley, CA
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