Kimberly Wheeler

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

WA PY 2326 Issued in WA

Practice address

1133 E Phillips Lake Rd
Shelton, WA 98584-8182

Phone

(360) 432-2700

Fax

(360) 432-2700

NPI assigned

Jul 25, 2014

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

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.

• Naturally Blooming

  • Community/Behavioral Health Agency
  • Shelton, WA
  • NPI 1588310346
  NPD Authorized official

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

{
    "created_epoch": "1406246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688083200000",
    "number": "1336557040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 E PHILLIPS LAKE RD",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985848182",
            "telephone_number": "360-239-2700",
            "fax_number": "360-432-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 E PHILLIPS LAKE RD",
            "city": "SHELTON",
            "state": "WA",
            "postal_code": "985848182",
            "telephone_number": "360-432-2700",
            "fax_number": "360-432-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "KIMBERLY",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-25",
        "last_updated": "2023-06-30",
        "certification_date": "2023-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "WA",
            "license": "WA PY 2326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisha Renee Wedding-Lambert
• Jesse Clifton Weed
• Dawn Hayla Wells
• Patrick Wessells
• Jimmy Ray Wesson Jr., M.D.
• Jennifer L Whetstone, RN
• Ashely L Wihley, LMP
• Owen Wilder
• Michelle Louise Wiley, RDH
• William J Busacca DDS, PS

• Clinical Psychologist in Shelton, WA
• Providers in Shelton, WA by specialty
• Clinical Psychologist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2023; 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.