Individual provider Active NPI

Kimberly Trishelle Weston, APN, FNP-BC

  • Family Nurse Practitioner
  • Bradenton, FL
National Provider Identifier
1639790371
Registry record updated May 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11021486 Issued in FL
Practice address
10730 Old Grove Cir
Bradenton, FL 34212-2605
Phone
(813) 997-1364
NPI assigned
May 5, 2020
Last updated
May 18, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X C-APN.0004688-C-NP CO
Family Nurse Practitioner 363LF0000X APRN11021486 FL Primary

Addresses

Primary practice location

10730 Old Grove Cir
Bradenton, FL 34212-2605

Mailing address

10730 Old Grove Cir
Bradenton, FL 34212-2605
Phone (813) 997-1364

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WY2 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

Enrollment IDStateProvider typePAC IDDetails
I20241021003366 CO Practitioner - Nurse Practitioner 5193257772 Reassigns benefits to 2 organizations
I20250220001764 WY Practitioner - Nurse Practitioner 5193257772 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11021486FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Health Physicians Colorado LLC Single Specialty CurrentSince Nov 1, 2024 Accepting new patients
Banner Health Physicians Colorado LLC CurrentSince Nov 1, 2024 Accepting new patients
Memorial Hospital of Carbon County CurrentSince Dec 21, 2024 Accepting new patients
Memorial Hospital of Carbon County CurrentSince Dec 21, 2024 Accepting new patients
Holistic Pain Management of Wyoming, LLC Single Specialty CurrentSince Dec 2, 2024 Accepting new patients
Memorial Hospital of Carbon County Single Specialty Current Accepting new patients
Lincoln Community Hospital Single Specialty CurrentSince Aug 26, 2024 Accepting new patients
Holistic Pain Management of Colorado LLC Single Specialty CurrentSince Jan 18, 2025 Accepting new patients
Memorial Hospital of Carbon County Single Specialty Current Accepting new patients
Lincoln Community Hospital Single Specialty CurrentSince Aug 26, 2024 Accepting new patients

Locations

1801 16th St
Ste C2B
Greeley, CO 80631
Phone (970) 810-4121

3780 N Garfield Ave
Ste 101
Loveland, CO 80538
Phone (800) 928-6040

1405 S 8th Ave
Ste 105
Sterling, CO 80751
Phone (970) 522-5500

2221 Elm St
Rawlins, WY 82301
Phone (307) 324-2221

300 3rd St
Rawlins, WY 82301
Phone (307) 324-3403

1001 W Main St
Ste B
Riverton, WY 82501
Phone (800) 928-6040

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1639790371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10730 OLD GROVE CIR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342122605",
            "telephone_number": "813-997-1364"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10730 OLD GROVE CIR",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342122605",
            "telephone_number": "813-997-1364"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTON",
        "first_name": "KIMBERLY",
        "middle_name": "TRISHELLE",
        "name_prefix": "Dr.",
        "credential": "APN, FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-05",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "C-APN.0004688-C-NP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11021486",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.