Kimberly Ann Washburn, N.P.

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

C-APN.0001138-C-NP Issued in CO

Practice address

1311A N Mildred Rd
Cortez, CO 81321-2231

Phone

(970) 565-8556

Fax

(970) 564-1134

NPI assigned

Dec 17, 2008

Last updated

Apr 10, 2025By 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 2

Addresses

Other names 1

• Kimberly Ann Johnson Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ, CO2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22261/brand/1/csg/1/fhir/r4
• Direct secure messaging: kimberly.washburn.1@22261.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southwest Health System Inc

  dba Southwest Memorial Hospital

  • Critical Access Hospital
  • Cortez, CO
  • NPI 1649241571

  Obstetrics & Gynecology

  Medicare reassignment NPD
• Southwest Health System, Inc.

  dba Southwest Walk-in Care

  • Rural Health Clinic/Center
  • Cortez, CO
  • NPI 1083917868
  NPD
• Southwest Health System, Inc.

  dba Southwest Memorial Specialty Care

  • Multi-Specialty Clinic/Center
  • Cortez, CO
  • NPI 1235655838
  NPD
• Southwest Health System, Inc.

  dba Southwest Health System Pharmacy

  • Pharmacy
  • Cortez, CO
  • NPI 1386917862
  NPD
• Southwest Health System, Inc.

  dba Southwest Medical Group - Primary Care

  • Rural Health Clinic/Center
  • Cortez, CO
  • NPI 1578689527
  NPD
• Four Corners OB/GYN

  • Specialist
  • Durango, CO
  • NPI 1861503948
  NPD (past)

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1639315948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311A N MILDRED RD",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813212231",
            "telephone_number": "970-565-8556",
            "fax_number": "970-564-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311A N MILDRED RD",
            "city": "CORTEZ",
            "state": "CO",
            "postal_code": "813212231",
            "telephone_number": "970-565-8556",
            "fax_number": "970-564-1134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5300 S SUTTER DR",
            "address_2": "STE 11",
            "address_purpose": "LOCATION",
            "city": "Show Low",
            "state": "AZ",
            "postal_code": "859018050",
            "country_code": "US",
            "telephone_number": "928-537-9844 x209",
            "fax_number": "928-537-4437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WASHBURN",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-17",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "JOH104338485",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "CO",
            "license": "C-APN.0001138-C-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "swhealth@1239.direct.myezyaccess.com",
            "affiliation": "N",
            "endpointDescription": "Southwest Health System - Womens and Family Health",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1311A N Mildred Rd",
            "city": "Cortez",
            "state": "CO",
            "country_code": "US",
            "postal_code": "813212231",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "JOHNSON",
            "middle_name": "ANN",
            "credential": "N.P",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wallace Anesthesia Services Incorporated
• Rachel Renee Wallace, CRNA
• Walmart Inc. (Walmart Pharmacy 10-0966)
• Liching Pi Wang
• Crystal Ward, RPH
• Jane Henninger Weiland, CACII
• Weir Hometown Healthcare LLC
• Ronda Gail Weir, MSN, FNP-BC
• Shannon Wells, LPN
• Shawn G Wells, PA-C

• Women's Health Nurse Practitioner in Cortez, CO
• Providers in Cortez, CO by specialty
• Women's Health Nurse Practitioner in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.