KIMBERLY L HALLGREN (NPI# 1134365950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134365950 |
| Entity Type | Individual |
| Full Name | KIMBERLY L HALLGREN |
| Credential | APN |
| Practice Address |
38400 Bob Wilson Dr San Diego CA 92134-0001 |
| Practice Telephone | 6195327576 |
| Mailing Telephone | 6195327576 |
| Enumeration Date | 2008-12-29 |
| Last Update Date | 2011-11-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
18599 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
209007393 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
38400 BOB WILSON DR |
| City | SAN DIEGO |
| State | CA |
| Zip Code | 92134-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578587507 | Alexander D Miller | Emergency Medicine | 38400 Bob Wilson Dr, San Diego, CA 92134-0001 | 2006-07-26 |
| 1639793177 | Randy To | Dentist | 38400 Bob Wilson Dr, San Diego, CA 92134-0001 | 2020-06-01 |
| 1861015091 | Jase Allen Schossow | Military Health Care Provider | 38400 Bob Wilson Dr, San Diego, CA 92134-0001 | 2020-05-21 |
| 1528681848 | Casey Erwin | Military Health Care Provider | 38400 Bob Wilson Dr, San Diego, CA 92134-5000 | 2020-05-20 |
| 1821611344 | Ryan Edward Wolf | Military Health Care Provider | 38400 Bob Wilson Dr, San Diego, CA 92134-5000 | 2020-05-19 |
| 1689296527 | Burke Patrick Boyle | Military Health Care Provider | 38400 Bob Wilson Dr, San Diego, CA 92134-5000 | 2020-05-14 |
| 1922620962 | Rikki Nicole Longmore | Military Health Care Provider | 38400 Bob Wilson Dr, San Diego, CA 92134-5000 | 2020-05-13 |
| 1235751439 | Kelsey Shaye Hunt | Student in an Organized Health Care Education/Training Program | 38400 Bob Wilson Dr, San Diego, CA 92134-5000 | 2020-05-11 |
| 1548882053 | Ryan Michael Kaylor | Military Health Care Provider | 38400 Bob Wilson Dr, San Diego, CA 92134-0001 | 2020-05-07 |
| 1063033983 | Huu Tri Vo | Military Health Care Provider | 38400 Bob Wilson Dr, San Diego, CA 92134-5000 | 2020-05-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477178457 | Joseph Hunter Sampson | Military Health Care Provider | 34101 Farenholt Ave #14, San Diego, CA 92134 | 2020-06-15 |
| 1508495201 | Benjamin Michael Taylor | Military Health Care Provider | Naval Medical Center San Diego Psychiatry Residency Pgm, 34800 Bob Wilson Drive, San Diego, CA 92134 | 2020-04-04 |
| 1255870333 | Dosh Page | Physician Assistant | Swmi Farenholt Avenue, Building 14, San Diego, CA 92134 | 2017-02-22 |
| 1417328063 | Noem Clay Gallego | Military Health Care Provider | 34101 Building 14, Farenholt Avenue, San Diego, CA 92134 | 2015-10-08 |
| 1972999183 | Justin Paul Lachney | Military Health Care Provider | 34101 Farenholt Avenue, San Diego, CA 92134 | 2015-04-14 |
| 1174963532 | Ryan Anders Crane | Otolaryngology | Department of Otolaryngology - Nmc San Diego, 34800 Bob Wilson Dr, San Diego, CA 92134 | 2013-07-01 |
| 1447591268 | Amy B. Cornell | Student in an Organized Health Care Education/Training Program | 34800 Bob Wilson Drive, San Diego, Ca, Apo, AA 92134 | 2013-03-04 |
| 1841562956 | Christopher Patrick Androski Jr. | Emergency Medical Technician, Basic | Naval Medical Center San Diego 38400 Bob Wilson Dr, San Diego, CA 92134 | 2012-02-04 |
| 1164717740 | Jason James Weiner | Internal Medicine | Dept of Internal Medicine, Division of Rheumatology, 34800 Bob Wilson Drive, San Diego, CA 92134 | 2011-06-13 |
| 1225320237 | Kimberly Ann Thompson | Student in an Organized Health Care Education/Training Program | Navy Medical Center San Diego Gme Department, 34800 Bob Wilson Dr., San Diego, CA 92134 | 2011-05-09 |
| Find all providers in zip 92134 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982203097 | Rebecca Dolores Garcia | Nurse Practitioner | 2440 Curlew St, San Diego, CA 92101-1327 | 2020-10-20 |
| 1003415472 | Ryanleo Flores | Nurse Practitioner | 2017 1st Avenue, Suite 301, San Diego, CA 92101 | 2020-10-18 |
| 1083226245 | Allison Floyd | Nurse Practitioner | 3652 Texas St, San Diego, CA 92104-4044 | 2020-08-19 |
| 1386255248 | Helen Hyeyoung Hong | Nurse Practitioner | 5140 Caminito Exquisito, San Diego, CA 92130-2852 | 2020-08-13 |
| 1134747595 | Dawn Elyse Rose | Nurse Practitioner | 8260 Mira Mesa Blvd Ste A, San Diego, CA 92126-2662 | 2020-07-10 |
| 1982232591 | John Meier | Nurse Practitioner | 3745 Riviera Dr Apt 10, San Diego, CA 92109-6661 | 2020-03-30 |
| 1013543008 | Alex Choi Mara | Nurse Practitioner | 5248 Zephyr Ln Unit 24, San Diego, CA 92120-2749 | 2020-03-21 |
| 1669005021 | Katlyn Ann Hartman | Nurse Practitioner | 1951 4th Ave, San Diego, CA 92101-2374 | 2020-02-13 |
| 1245876101 | Katherine Baber | Nurse Practitioner | 3671 Fifth Ave, San Diego, CA 92103-4218 | 2019-11-25 |
| 1922644095 | Taiko Harris | Nurse Practitioner | 13592 Bolero Way, San Diego, CA 92130-7006 | 2019-11-22 |
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| 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.