Kimberly Ann Wolenski, RN

Primary specialty

Emergency Registered NurseTaxonomy code 163WE0003X

License

689171 Issued in TX

Practice address

Hwy 86 & Topawa
Sells, AZ 85734

Phone

(346) 754-3328

NPI assigned

Mar 7, 2023

Last updated

Mar 7, 2023By the provider in NPPES

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 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": "1678147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1689374837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 BIG HORN CT",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774784227",
            "telephone_number": "467-543-3283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HWY 86 & TOPAWA",
            "city": "SELLS",
            "state": "AZ",
            "postal_code": "85734",
            "telephone_number": "346-754-3328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLENSKI",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-07",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WE0003X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Emergency",
            "state": "TX",
            "license": "689171",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "689171",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Howard Blair Watson Jr., RN
• Krista Watson, PT, DPT
• Rachelle Irene Watts, PHARMD
• Kathleen Diane Wilsey Ankeny, MS RN
• Starla C'Leste Wisdom-Allen, RN
• Andrea Wray Woolridge, D.P.T.
• Clayton Yocham, RN
• Monica L Zhovklyy, PT

• Emergency Registered Nurse in Sells, AZ
• Providers in Sells, AZ by specialty
• Emergency Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.