Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kimberly Nicholson

Individual provider Community Health Worker · NPI 1124886379

Kimberly Nicholson is a Community Health Worker in Modesto, California. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

1700 McHenry Village Way Ste 11B
Modesto, CA 95350-4341
Phone: (209) 550-5850
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X

Record details

NPI number1124886379
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMarch 12, 2024
Last updated in NPPESMarch 12, 2024
Certification dateMarch 12, 2024
Mailing address100 Poplar Ave, Modesto, CA 95354-0510

Other providers in Modesto