Active NPI
Jennifer M Wimberly
- Urology Physician
- Washington, DC
National Provider Identifier
1154350437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD33741
- Practice address
- 3800 Reservoir Rd NW
Washington, DC 20007-2113 - Phone
- (202) 444-7371
- NPI assigned
- Jun 30, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | MD33741 | DC | Primary |
Addresses
Primary practice location
3800 Reservoir Rd NW
Washington, DC 20007-2113
Mailing address
PO Box 631856
Baltimore, MD 21263-1856
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD33741 | DC | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Urology | Current | Accepting new patients |
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| Dallas County Hospital District | Current | Accepting new patients | |
| Dallas County Hospital District | Current | Accepting new patients | |
| Dallas County Hospital District | Current | Accepting new patients | |
| Medstar Georgetown Medical Center | Past | Accepting new patients |
Locations
3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591
1800 N Britain Rd
Irving, TX 75061
Phone (214) 266-3000
5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390
Interoperability endpoints
- jwimberly13850@direct.phhs.org
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942270566
-
- Psychiatry Physician
- Dallas, TX
- NPI 1649278995
-
- Federally Qualified Health Center (FQHC)
- Dallas, TX
- NPI 1356852784
-
- Women's Health Nurse Practitioner
- Dallas, TX
- NPI 1558035188
-
- Women's Health Nurse Practitioner
- Dallas, TX
- NPI 1831198506
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1396832713
-
- Urology Physician
- Dallas, TX
- NPI 1700831484
-
- Clinical Medical Laboratory
- Washington, DC
- NPI 1730198755
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1194393600000",
"number": "1154350437",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 631856",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212631856"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 RESERVOIR RD NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200072113",
"telephone_number": "202-444-7371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WIMBERLY",
"first_name": "JENNIFER",
"middle_name": "M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2007-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "DC",
"license": "MD33741",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.