Kimberly A Vanwingen, CNM RN

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

4704169207 Issued in MI

Practice address

109 S Jackson St
Spring Lake, MI 49456-2095

Phone

(616) 842-7406

Fax

(616) 844-7056

NPI assigned

Dec 16, 2006

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 3

Other names 1

• Kimberly A Naber Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Registered Nurse

Practice roles

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.

• Thomas L Vanwingen MD PC

  • Obstetrics & Gynecology Physician
  • Spring Lake, MI
  • NPI 1679772081
  NPD (past)

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

{
    "created_epoch": "1166227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1518029248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 S JACKSON ST",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494562095",
            "telephone_number": "616-842-7406",
            "fax_number": "616-844-7056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 S JACKSON ST",
            "city": "SPRING LAKE",
            "state": "MI",
            "postal_code": "494562095",
            "telephone_number": "616-842-7406",
            "fax_number": "616-844-7056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Michigan St NE # Mc020",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495032560",
            "country_code": "US",
            "telephone_number": "616-391-2160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANWINGEN",
        "first_name": "KIMBERLY",
        "middle_name": "A",
        "credential": "CNM RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-16",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MI",
            "license": "4704169207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "P111269",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4208758280",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "382854385",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "NABER",
            "middle_name": "A",
            "credential": "CNM RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brianne Kristen Umphrey-Twa
• Unlimited Possibilities LLC
• David C Vanandel, MSPT
• Lindsay Marie Vandyke, LLMFT, LLC
• Adeline Maris Vannoller
• Thomas Vanwingen, MD
• Amanda Vergin
• Mary Vermeulen, LLMSW
• Elyse Vos, OTR
• Catherine E Waddilove, LCSW

• Advanced Practice Midwife in Spring Lake, MI
• Providers in Spring Lake, MI by specialty
• Advanced Practice Midwife in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.