Kimberly Rey, Nurse Practitioner
Nurse Practitioner, Primary Care in Roseville, CA. Individual provider (NPI-1).
NPI number1841978368
StatusActive
Last updated in NPPESJul 5, 2023
Details
- NPI
- 1841978368
- Entity type
- Individual (NPI-1)
- Name
- Ms. Kimberly Rey
- Credential
- Nurse Practitioner
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 5, 2023
- Certification date
- Jul 5, 2023
- Last updated
- Jul 5, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- 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 |
|---|---|---|---|---|
| 363LP2300X | Nurse Practitioner, Primary Care | 95025251 | CA | Yes |
Practice location
11801 Go For Broke RdRoseville, CA 95678-7055
Phone 916-409-8262
Mailing address
Po Box 9148Auburn, CA 95604-9148
Phone 619-565-9137
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.
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All 7 Primary Care Nurse Practitioner providers in Roseville · All 6,478 providers in Roseville
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