KIMBERLY ANN LELI (NPI# 1871696377) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871696377 |
| Entity Type | Individual |
| Full Name | KIMBERLY ANN LELI |
| Credential | NPF |
| Practice Address |
243 Georgia Street Suite B Vallejo CA 94590 |
| Mailing Address |
Po Box 22210 Oakland CA 94623-2210 |
| Practice Telephone | 7075568100 |
| Practice Fax Number | 7075568107 |
| Mailing Telephone | 5105354000 |
| Mailing Fax Number | 5105354189 |
| Enumeration Date | 2006-09-07 |
| Last Update Date | 2013-08-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | NPF3165 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | FHC11991F | 05 |
| Street Address |
243 GEORGIA STREET SUITE B |
| City | VALLEJO |
| State | CA |
| Zip Code | 94590 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588767602 | Mark Allan Smith | Family Medicine | 243 Georgia Street, Ste B, Vallejo, CA 94590 | 2006-09-06 |
| 1003121260 | Virginia Jean Hens-piazza | Physician Assistant | 243 Georgia Street, Suite B, Vallejo, CA 94590-5905 | 2010-08-12 |
| 1013157353 | Catherine Ann Heckert | Nurse Practitioner | 243 Georgia Street, Suite B, Vallejo, CA 94590-5905 | 2009-02-26 |
| 1225123243 | Mija Berg | Nurse Practitioner | 243 Georgia Street, Suite B, Vallejo, CA 94590 | 2006-10-04 |
| 1215021175 | Wasfa Jabeen Jahangiri | Family Medicine | 243 Georgia Street, Ste B, Vallejo, CA 94590 | 2006-10-03 |
| 1356444848 | Ivana Pereira-ambrose | Nurse Practitioner | 243 Georgia Street, Ste B, Vallejo, CA 94590 | 2006-09-07 |
| 1194828210 | Gregory Warren Baldwin | Pediatrics | 243 Georgia Street, Suite B, Vallejo, CA 94590 | 2006-09-06 |
| 1104929165 | Maricar Inigo | Nurse Practitioner | 243 Georgia Street, Ste B, Vallejo, CA 94590 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265051445 | Jaspreet Bains | Licensed Vocational Nurse | 508 Alabama Street, Vallejo, CA 94590 | 2020-04-08 |
| 1467097527 | Deneane Hannon | Behavioral Analyst | 238 Georgia St. Ste 102, Vallejo, CA 94590 | 2019-11-13 |
| 1780243196 | Abla Harara Almoraissi | Health Educator | John F. Kennedy Library, 505 Santa Clara St, Vallejo, CA 94590 | 2019-06-10 |
| 1891264461 | Brian Emory Kellogg | Marriage & Family Therapist | 525 Oregon St., Php/iop, Vallejo, CA 94590 | 2018-11-13 |
| 1952801862 | Carica Theresa Saraza Macariola | Specialist/Technologist | 1007 Solano Avenue, Vallejo, CA 94590 | 2018-02-16 |
| 1770007973 | Deborah A Johnson-white | Licensed Vocational Nurse | 908 Tuolumne, Vallejo, CA 94590 | 2017-07-29 |
| 1306378260 | Edgar Diaz | Counselor | 236 Georgia Street Suite 101, Vallejo, CA 94590 | 2017-03-30 |
| 1528440096 | Soren Perry | Counselor | 236 Georgia St., Vallejo, CA 94590 | 2015-06-22 |
| 1518366327 | Kimberly A Holland | Counselor | 631 Tennessee Street Suite 201, Vallejo, CA 94590 | 2014-08-18 |
| 1841605193 | Lawana Lofton | Psychologist | 88 Valle Vista Drive, Unit 6310, Vallejo, CA 94590 | 2014-06-25 |
| Find all providers in zip 94590 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639794639 | Humberto Matthew Talmadge | Nurse Practitioner | 3335 Harbor Moon Ct, Vallejo, CA 94591-6331 | 2020-06-15 |
| 1780745208 | Ma. Rosel M. Sigua-chen | Nurse Practitioner | 119 Westport Ln, Vallejo, CA 94591-7256 | 2006-12-12 |
| 1982774774 | Debbie Elizabeth Diaz | Nurse Practitioner | Kaiser Permanente 975 Sereno Dr, Vallejo, CA 94589 | 2006-11-08 |
| 1205891314 | Shelley L Wong | Nurse Practitioner | 100 Hospital Dr Ste 200, Vallejo, CA 94589 | 2006-04-20 |
| 1912996398 | Edwina Lorraine Hanna-reese | Nurse Practitioner | 1860 Landmark Dr, Vallejo, CA 94591-3852 | 2005-10-18 |
| 1184995342 | Tracy Eidson | Nurse Practitioner | 210 Hospital Dr, Vallejo, CA 94589-2517 | 2012-01-19 |
| 1962737460 | Marites Less | Nurse Practitioner | 220 Hospital Dr, Vallejo, CA 94589-2517 | 2009-10-16 |
| 1609933746 | Judith Gail Smith | Nurse Practitioner | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2007-01-01 |
| 1699837724 | Lisbeth Macdonald | Nurse Practitioner | 975 Sereno Dr, Vallejo, CA 94589-2441 | 2006-12-14 |
| 1366521452 | Celeste Jacqueline Laprade | Nurse Practitioner | 975 Sereno Dr, Medicine 7, Vallejo, CA 94589-2441 | 2006-11-02 |
| Find all providers in VALLEJO | ||||
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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.