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KIMBERLY MICHELLE WATERMAN
NPI 1245861822
Student in an Organized Health Care Education/Training Program in Rio Linda, CA

Active since January 31, 2020

NPPES record last updated: January 31, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kimberly Michelle Waterman NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY MICHELLE WATERMAN (NPI 1245861822) is an individual student in an organized health care education/training program in Rio Linda, California and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1245861822
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameKIMBERLY MICHELLE WATERMAN
Location Address505 M STRio Linda, CA 95673-2218
Mailing Address5354 J StSacramento, CA 95819-3944 · (530) 305-2812
Phone(916) 287-4067
Sole ProprietorNo
Enumeration DateJanuary 31, 2020
✔ NPI 1245861822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
505 M ST, Rio Linda, CA 95673
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DECEMEI L CALVIN DIXON
Case Manager/Care Coordinator
505 M ST
RIO LINDA, CA 95673
Sacramento County (916) 287-4067
ANGELIKA TAPIA CHAMPAGNE
Community Health Worker
505 M ST
RIO LINDA, CA 95673
Sacramento County (916) 287-4067
MISS LISA ANN MCCORMIC
Counselor
505 M ST
RIO LINDA, CA 95673
Sacramento County (916) 473-5764
KARENE BEECHAM
Counselor (Mental Health)
505 M ST
RIO LINDA, CA 95673
Sacramento County (916) 579-3061
EVA BI MALAVONE
Case Manager/Care Coordinator
505 M ST
RIO LINDA, CA 95673
Sacramento County (916) 287-4067
CHONG NENG THAO
Case Manager/Care Coordinator
505 M ST
RIO LINDA, CA 95673
Sacramento County (916) 287-4067
JULISSA GALICIA- MARTINEZ
Case Manager/Care Coordinator
505 M ST
RIO LINDA, CA 95673
Sacramento County (916) 287-4067
RASHEEDAH AISHA JOHNSON
Licensed Psychiatric Technician
505 M ST
RIO LINDA, CA 95673
Sacramento County (916) 287-4067

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kimberly Waterman's NPI number?

The NPI number for Kimberly Waterman is 1245861822. It was assigned to this individual provider in the NPPES registry on January 31, 2020.

Where is Kimberly Waterman located?

Kimberly Waterman practices at 505 M St, Rio Linda, CA 95673. The listed phone number is (916) 287-4067.

What is Kimberly Waterman's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Kimberly Waterman was last updated on January 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.