Kimberly White

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

041238039 Issued in IL

Practice address

2108 Kenton LN
Libertyville, IL 60048-1500

Phone

(234) 234-8677

NPI assigned

Jul 29, 2006

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

Other names 1

• Kimberly Tijunelis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

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.

• Midwest Anesthesia Partners, LLC

  • Anesthesiology Physician
  • Chicago, IL
  • NPI 1255380184
  NPD (past)

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321315200000",
    "number": "1245244680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 KENTON LN",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2108 KENTON LN",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481500",
            "telephone_number": "234-234-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-29",
        "last_updated": "2011-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": "041238039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "TIJUNELIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John C Welu, DDS
• Ray Wenc, HIS
• Terese Wenzel, NP
• White Anesthesia, LLC
• Jayne Ann White, OTR/L
• Alesia Whitt, NP
• Brianna Wicinski, NP
• Wiegand Psychological Services, LLC
• Timothy Wile
• Cody Adam Wilgus, PHARMD

• Certified Registered Nurse Anesthetist in Libertyville, IL
• Providers in Libertyville, IL by specialty
• Certified Registered Nurse Anesthetist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2011; 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.