Kimberly Ann Tolstyka, RN/CCM

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

201685 Issued in OH

Practice address

23475 Stacey Dr
Brownstown Township, MI 48183-5473

Phone

(734) 789-9902

Fax

(734) 789-9903

NPI assigned

Jun 12, 2009

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 3

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": "1244764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244764800000",
    "number": "1609003003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23475 STACEY DR",
            "city": "BROWNSTOWN TOWNSHIP",
            "state": "MI",
            "postal_code": "481835473",
            "telephone_number": "734-789-9902",
            "fax_number": "734-789-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23475 STACEY DR",
            "city": "BROWNSTOWN TOWNSHIP",
            "state": "MI",
            "postal_code": "481835473",
            "telephone_number": "734-789-9902",
            "fax_number": "734-789-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLSTYKA",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "RN/CCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-12",
        "last_updated": "2009-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "OH",
            "license": "201685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "4704194576",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCM",
            "identifier": "00064415",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RN",
            "identifier": "201685",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Buhnerkemper
• Reem Issa, NP
• Julie Khuong, DPT
• Motionworks Physical Therapy
• Payton D Rigg
• Woodward Detroit CVS, L.L.C.

• Case Management Registered Nurse in Brownstown Township, MI
• Providers in Brownstown Township, MI by specialty
• Case Management Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2009; 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.