Kim Hickman Wertz, NURSE PRACTITIONER F

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0024101663 Issued in VA

Practice address

Randolph College Student Health Center
2500 Rivermont Avenue
Lynchburg, VA 24503-1526

Phone

(434) 947-8130

Fax

(434) 947-8106

NPI assigned

Dec 8, 2005

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

• Ms. Kim Hickman Ayscue Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1396720751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RANDOLPH COLLEGE STUDENT HEALTH CENTER",
            "address_2": "2500 RIVERMONT AVENUE",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245031526",
            "telephone_number": "434-947-8130",
            "fax_number": "434-947-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RANDOLPH COLLEGE STUDENT HEALTH CENTER",
            "address_2": "2500 RIVERMONT AVENUE",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245031526",
            "telephone_number": "434-947-8130",
            "fax_number": "434-947-8106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERTZ",
        "first_name": "KIM",
        "middle_name": "HICKMAN",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER F",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-08",
        "last_updated": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024101663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIM",
            "last_name": "AYSCUE",
            "middle_name": "HICKMAN",
            "prefix": "MS.",
            "credential": "NURSE PRACTITIONER F",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Alex Wells, DO
• Wellspring of Hope LLC
• Jessica Ann Welsh, MD
• Lucas Daniel Werth, DC
• Colton John Wertsbaugh, M.A., BCBA, LBA
• Laura H Wesolowski, PT
• Kyle Patrick Wessells, MD
• Brandi Alexis West
• Sarah Klizas West, M.D.
• Westminster Canterbury of Lynchburg, Inc.

• Family Nurse Practitioner in Lynchburg, VA
• Providers in Lynchburg, VA by specialty
• Family Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.