Ms Kim Therese Little, FNP is a
Nurse Practitioner - Family based in Salida, California. Ms Kim Therese Little is licensed to practice in California (license number 95021616) and her current practice location is
5330 Pirrone Rd, Salida, California. She can be reached at her office (for appointments etc.) via phone at
(209) 846-9488.
NPI number for Ms Kim Therese Little is 1457079337 and her current mailing address is 2122 Brennan Ln, Manteca, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457079337.
Provider's Profile
Full Name | Ms Kim Therese Little |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 5330 Pirrone Rd, Salida, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1457079337
- Provider Enumeration Date: 08/17/2022
- Last Update Date: 08/17/2022
Medical Identifiers
Medical identifiers for Ms Kim Therese Little such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1457079337 | NPI | - | NPPES |
95021616 | Other | CA | FNP LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 95021616 (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. Ms Kim Therese Little 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 |
Ms Kim Therese Little, FNP 2122 Brennan Ln, Manteca, CA 95337-8985 Ph: (408) 605-5435 | Ms Kim Therese Little, FNP 5330 Pirrone Rd, Salida, CA 95368-8204 Ph: (209) 846-9488 |
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