Organization Active NPI

Kim Whitmore Private Duty

  • Skilled Nursing Facility
  • Sun Prairie, WI
National Provider Identifier
1174582258
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
KIM WHITMORE PRIVATE DUTY
Practice address
2780 Blue Aster Blvd
Sun Prairie, WI 53590-4670
Phone
(414) 403-2699
NPI assigned
Mar 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kim Whitmore
Title
RN
Phone
(414) 403-2699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

2780 Blue Aster Blvd
Sun Prairie, WI 53590-4670

Mailing address

2780 Blue Aster Blvd
Sun Prairie, WI 53590-4670
Phone (414) 403-2699

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430092800000",
    "number": "1174582258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 BLUE ASTER BLVD",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535904670",
            "telephone_number": "414-403-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 BLUE ASTER BLVD",
            "city": "SUN PRAIRIE",
            "state": "WI",
            "postal_code": "535904670",
            "telephone_number": "414-403-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM WHITMORE PRIVATE DUTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-18",
        "last_updated": "2015-04-27",
        "status": "A",
        "authorized_official_last_name": "WHITMORE",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "414-403-2699"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sun Prairie, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.