Kimberly Michele Whiting, RN

Primary specialty

Plastic Surgery Registered NurseTaxonomy code 163WS0121X

License

28236535A Issued in IN

Practice address

1801 N Senate Blvd Ste 635
Indianapolis, IN 46202-1212

Phone

(317) 944-3636

Fax

(317) 968-1371

NPI assigned

Jan 25, 2023

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 names 1

• Miss Kimberly Michele Phillips Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1376259184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 N SENATE BLVD STE 635",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021212",
            "telephone_number": "317-944-3636",
            "fax_number": "317-968-1371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 N SENATE BLVD STE 635",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462021212",
            "telephone_number": "317-944-3636",
            "fax_number": "317-968-1371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITING",
        "first_name": "KIMBERLY",
        "middle_name": "MICHELE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-25",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28236535A",
            "primary": false
        },
        {
            "code": "163WS0121X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Plastic Surgery",
            "state": "IN",
            "license": "28236535A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "PHILLIPS",
            "middle_name": "MICHELE",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Benjamin Michael Whiteside
• Denise Whitfield, RN
• Whitney Whitfield
• Jashana Pearl Whiting
• Joyce Hall Whiting, MS RD
• Crystal Whitis
• Lindsey Whitis, PHARM D
• Bruce Herbert Whitley, MD
• Moneka Whitley
• Phillip Michael Whitley

• Registered Nurse in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Registered Nurse in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 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.