Kimberly Whisenant, NP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

520993 Issued in TX

Practice address

116 E 11TH St Ste 101
Spencer, IA 51301-4365

Phone

(712) 264-3500

Fax

(712) 264-3525

NPI assigned

Apr 16, 2007

Last updated

Mar 23, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Interoperability endpoints

• Direct secure messaging: kimberly.whisenant@avera.sdhealthlink.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Texas Children's Physician Group

  • Pediatrics Physician
  • Houston, TX
  • NPI 1861675506
  NPD (past)

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584921600000",
    "number": "1205051208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 E 11TH ST STE 101",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513014365",
            "telephone_number": "712-264-3500",
            "fax_number": "712-264-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 E 11TH ST STE 101",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513014365",
            "telephone_number": "712-264-3500",
            "fax_number": "712-264-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHISENANT",
        "first_name": "KIMBERLY",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "TX",
            "license": "520993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly Ann Westervelt, MSPT
• Daniel Westphal
• Larry Westphal, CRNA
• Briana Wetrich, PA-C
• Elle-Shante Whalen, M.S., L.M.H.C
• White Drug Enterprises Inc (White Drug #42)
• Angie Marie Wigen, COTA/L
• Barbara L Wilkerson, ARNP
• Janette R Willison, LMSW
• Brian Patrick Wilson, D.O.

• Pediatric Nurse Practitioner in Spencer, IA
• Providers in Spencer, IA by specialty
• Pediatric Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.