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

Mrs. Kimberlee Ann Clark-Raby, AGNP-BC

Individual provider Adult Health Nurse Practitioner · NPI 1356580906

Mrs. Kimberlee Ann Clark-Raby, AGNP-BC is a Nurse Practitioner in Roseville, California. Qualified in 2008, 18 years ago. Practices with St Tammany Parish Hospital Service District No 1, a 163-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
18
Licensed in
CA
In the registry since
2009
Specialties on file
2

Practice location Address checks out

1161 Cirby Way
Roseville, CA 95661-4421
Phone: (916) 782-1238
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 21308 (CA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 21308 (CA)

Record details

NPI number1356580906
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-BC
Sole proprietorNo
NPI enumeratedFebruary 5, 2009
Last updated in NPPESNovember 20, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice St Tammany Parish Hospital Service District No 1 — 163 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Roseville