Kimberly Marie Webb-Meadows

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

689036996 Issued in FL

Practice address

955 20TH Ave
Vero Beach, FL 32960-4307

Phone

(772) 559-8309

Fax

(772) 492-9147

NPI assigned

Oct 20, 2009

Last updated

Oct 20, 2009By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1255996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1255996800000",
    "number": "1316273725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 20TH AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604307",
            "telephone_number": "772-559-8309",
            "fax_number": "772-492-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 20TH AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329604307",
            "telephone_number": "772-559-8309",
            "fax_number": "772-492-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB-MEADOWS",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-20",
        "last_updated": "2009-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "FL",
            "license": "689036996",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDWAIVER PROVIDER",
            "identifier": "689036996",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Emily Weaver
• Brianna Marie Webb, D.M.D.
• Daisy Delions Webb
• Darrell Antonio Webb, D.O
• Abigail Leigh Weber, LAT, ATC, OTC
• Christopher Weeden, MD

• Community Health Worker in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Community Health Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2009; 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.