Mrs Kimberly Rosanne Nguyen Lopez, CNM, WHNP, RN, RD is a
Advanced Practice Midwife based in Modesto, California. Mrs Kimberly Rosanne Nguyen Lopez is licensed to practice in California (license number NMW236478) and her current practice location is
4601 Dale Rd, Modesto, California. She can be reached at her office (for appointments etc.) via phone at
(209) 735-5000.
NPI number for Mrs Kimberly Rosanne Nguyen Lopez is 1679950349 and her current mailing address is 749 Elm St, San Jose, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679950349.
Healthcare Provider's Profile
Full Name | Mrs Kimberly Rosanne Nguyen Lopez |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 4601 Dale Rd, Modesto, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1679950349
- Provider Enumeration Date: 05/01/2015
- Last Update Date: 11/13/2024
Medical Identifiers
Medical identifiers for Mrs Kimberly Rosanne Nguyen Lopez such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679950349 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 86043775 (California) | Secondary |
363LW0102X | Nurse Practitioner - Women's Health | NP95030850 (California) | Secondary |
367A00000X | Advanced Practice Midwife | NMW236478 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kimberly Rosanne Nguyen Lopez is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mrs Kimberly Rosanne Nguyen Lopez, CNM, WHNP, RN, RD 749 Elm St, San Jose, CA 95126-1810 Ph: (408) 421-1086 | Mrs Kimberly Rosanne Nguyen Lopez, CNM, WHNP, RN, RD 4601 Dale Rd, Modesto, CA 95356-9718 Ph: (209) 735-5000 |
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