BEVERLY JEANNE KEMMERLING (NPI# 1083606438) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083606438 |
| Entity Type | Individual |
| Full Name | BEVERLY JEANNE KEMMERLING |
| Credential | ANP-C |
| Practice Address |
26455 Rockwell Canyon Rd Coc Student Health & Wellness Center Santa Clarita CA 91355-1803 |
| Mailing Address |
3270 Valewood Cir Thousand Oaks CA 91360-2865 |
| Practice Telephone | 6613623259 |
| Practice Fax Number | 6613625051 |
| Mailing Telephone | 8054059883 |
| Mailing Fax Number | 6613625051 |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2008-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
RN435904 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
RN435904 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LX0106X |
Nurse Practitioner Specialization: Occupational Health |
RN435904 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | DEA NUMBER | MK1079830 | 01 |
| Street Address |
26455 ROCKWELL CANYON RD COC STUDENT HEALTH & WELLNESS CENTER |
| City | SANTA CLARITA |
| State | CA |
| Zip Code | 91355-1803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265844351 | Audrey Burgdorfer | Registered Nurse | 26455 Rockwell Canyon Rd, Santa Clarita, CA 91355-1803 | 2014-05-23 |
| 1851719157 | Santa Clarita Community College District | Local Education Agency (LEA) | 26455 Rockwell Canyon Rd, S 122, Santa Clarita, CA 91355-1803 | 2014-04-03 |
| 1437577103 | Santa Clarita Community College District | Clinic/Center | 26455 Rockwell Canyon Rd, Student Center-122, Santa Clarita, CA 91355-1803 | 2014-03-31 |
| 1114179801 | Sarah Nanette Ehrsam | Specialist/Technologist | 26455 Rockwell Canyon Rd, Santa Clarita, CA 91355-1803 | 2008-10-14 |
| 1760634497 | Chad A Peters | Specialist/Technologist | 26455 Rockwell Canyon Rd, Santa Clarita, CA 91355-1803 | 2008-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447874730 | Deborah Colleen Rheinfurth | Registered Nurse | 25727 Mcbean Parkway, Valencia, CA 91355 | 2020-06-02 |
| 1396368106 | Carla Patricia Ponce | Behavior Technician | 25115 W, Avenue Stanford Suite A100, Santa Clarita, CA 91355 | 2020-05-27 |
| 1578197661 | Kathleen Megan Murphy Cross | Counselor | 24307 Magic Mountain Pkwy, #260, Valencia, CA 91355 | 2020-02-27 |
| 1780226340 | Logan Veis | Behavior Technician | 25515 Avenue Stanford, Suite A100, Valencia, CA 91355 | 2019-10-15 |
| 1376192906 | Yosef Desta | Behavior Technician | 25115 Ave Standard, Suit A100, Valencia, CA 91355 | 2019-09-06 |
| 1063060960 | Michauni Kimbrew | Behavioral Analyst | 27502 Ave Scott, Ste A, Santa Clarita, CA 91355 | 2019-09-04 |
| 1427607357 | Alissa Meadow Myatt | Social Worker | Henry Mayo Newhall Hospital 23845 Mcbean Parkway, Valencia, CA 91355 | 2019-09-04 |
| 1124672761 | Genon Catarroja | Behavior Technician | 25115 W. Avenue Stanford Suite A100, Valencia, CA 91355 | 2019-08-01 |
| 1730675455 | Jaquelyn Marlene Escobar | Community Health Worker | 24525 Town Center Drive, Valencia, CA 91355 | 2018-07-05 |
| 1265922843 | Jomil Prenzirose Conste | Behavior Technician | 25115 Avenue M14 Suite A, Valencia, CA 91355 | 2018-05-18 |
| Find all providers in zip 91355 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831109297 | Judith S Adams | Nurse Practitioner | 23504 Lyons Ave, Suite 101b, Santa Clarita, CA 91321-2500 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699388504 | Daniel Ngo | Nurse Practitioner | 1180 S Hilda St, Anaheim, CA 92806-5007 | 2020-08-28 |
| 1407464522 | Laura Bradigan | Nurse Practitioner | 1744 Grand Ave Unit 2, Long Beach, CA 90804-2022 | 2020-07-15 |
| 1538787031 | Kelly Olcott | Nurse Practitioner | 4004 Via Lucero Apt 12, Santa Barbara, CA 93110-1692 | 2020-07-10 |
| 1629695440 | Kelley Ibarra | Nurse Practitioner | 1613 Celeste Dr, Modesto, CA 95355-5039 | 2020-06-26 |
| 1497379333 | Gloria Jean Campbell | Nurse Practitioner | 5055 E Garford St Apt 6, Long Beach, CA 90815-2861 | 2020-06-06 |
| 1851913115 | Lilly Fong | Nurse Practitioner | 15821 Square Top Ln, Fontana, CA 92336-4586 | 2020-05-09 |
| 1548880750 | Sharkeiya Terrell | Nurse Practitioner | 2752 Harrison Ave Ste A, Eureka, CA 95501-4738 | 2020-04-17 |
| 1730714007 | Julissa Leonides Caraballo | Nurse Practitioner | 4044 Promontory St, San Diego, CA 92109-5334 | 2020-03-07 |
| 1194355404 | Bethany Leda Donowho | Nurse Practitioner | 845 Via De La Paz Ste 16, Pacific Palisades, CA 90272-3627 | 2020-01-26 |
| 1518507078 | Rachel Saake Collar | Nurse Practitioner | 5100, 1000 Executive Pkwy, Oroville, CA 95966 | 2020-01-13 |
| Find all providers with the same taxonomy | ||||
| City | SANTA CLARITA |
| Zip Code | 91355 |
Please comment or provide details below to improve the information on BEVERLY JEANNE KEMMERLING.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.