Kimberly N Wyman Bryant, BMS

Primary specialty

CounselorTaxonomy code 101Y00000X

License

CTB-2022-0932 Issued in NM

Practice address

1100 W 21St Street
Clovis, NM 88101

Phone

(575) 769-2345

Fax

(575) 769-9013

NPI assigned

May 26, 2010

Last updated

Dec 28, 2022By 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 2

Addresses

Other identifiers 1

Other names 1

• Kimberly Wyman Former name

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": "1274832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1356660609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W 21ST STREET",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "88101",
            "telephone_number": "575-769-2345",
            "fax_number": "575-769-9013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W 21ST STREET",
            "city": "CLOVIS",
            "state": "NM",
            "postal_code": "88101",
            "telephone_number": "575-769-2345",
            "fax_number": "575-769-9013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYMAN BRYANT",
        "first_name": "KIMBERLY",
        "middle_name": "N",
        "credential": "BMS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-26",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NM",
            "license": "CTB-2022-0932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "69732299",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "WYMAN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tiffany Marie Wright
• Michelle Wrobel
• Nora Wuest, BSN RN
• Darcy Pope Wyatt, D.C.
• Riene Cheree Wyatt
• Amber Dawn Wyman, SLP
• Jasmine Bianca Wynne Kazarian, RN
• X Press Care LLP
• X-Press Care LLC
• Kara Yada

• Counselor in Clovis, NM
• Providers in Clovis, NM by specialty
• Counselor in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.