Kimberly Gray Mahealani Wing, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

RN60816395 Issued in WA

Practice address

6022 Miner Dr SW
Tumwater, WA 98512-1601

Phone

(808) 628-0908

NPI assigned

Sep 23, 2019

Last updated

Sep 23, 2019By 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 1

Addresses

Other identifiers 1

Other names 1

• Kimberly Gray Mahealani Medeiros Former name

Electronic endpoints 1

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": "1569196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569196800000",
    "number": "1558912410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6022 MINER DR SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985121601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6022 MINER DR SW",
            "city": "TUMWATER",
            "state": "WA",
            "postal_code": "985121601",
            "telephone_number": "808-628-0908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WING",
        "first_name": "KIMBERLY",
        "middle_name": "GRAY MAHEALANI",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-23",
        "last_updated": "2019-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WA",
            "license": "RN60816395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DO NOT HAVE NUMBERS",
            "identifier": "000000000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimberlywing73@google.com",
            "affiliation": "N",
            "endpointDescription": "secondary email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "6022 Miner Dr SW",
            "city": "Tumwater",
            "state": "WA",
            "country_code": "US",
            "postal_code": "985121601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "MEDEIROS",
            "middle_name": "GRAY MAHEALANI",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Steve E Williams, LMT
• Steven Patrick Williams, LMFT
• Cassie Willis, LMP
• Casey Ann Wilson, M.ED, LMHCA
• Zebedee Rhett Wilson, MA, MHP, LMHCA
• Rachel Winstedt, N.D.
• Jordyn Wirkkala, DO
• Andrew Wodka, BS,PT, MBA
• Christopher Womac, DPM
• Alexa Wood, LMFTA

• Registered Nurse in Tumwater, WA
• Providers in Tumwater, WA by specialty
• Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; 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.