Active NPI
Kimberly Brennan Weierheiser, ARNP
- Family Nurse Practitioner
- Largo, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- ARNP3264472
- Practice address
- 13670 Walsingham Rd
Largo, FL 33774-3532 - Phone
- (727) 593-9848
- Fax
- (727) 596-5432
- NPI assigned
- Apr 5, 2013
- Last updated
- Jan 10, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | ARNP3264472 | FL | Primary |
Addresses
Primary practice location
13670 Walsingham Rd
Largo, FL 33774-3532
Mailing address
6827 1St Ave S
Suite 200
St Petersburg, FL 33707-1242
Phone (727) 757-0575
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 017957800 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
14000 Fivay Rd
Bayonet Point, FL 34667-7103
Phone (727) 819-2929
6600 Madison St
New Port Richey, FL 34652-1971
Phone (727) 842-8468
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Services of FL, LLC | Current | Accepting new patients | |
| Bay Area Emergency Physicians LLC | Current | Accepting new patients | |
| Pasco County Emergency Physicians LLC | Current | Accepting new patients |
Locations
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552
700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
6600 Madison St
New Pt Richey, FL 34652
Phone (727) 841-4611
35750 US Highway 19 N
Palm Harbor, FL 34684
Phone (727) 789-8420
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
14000 Fivay Rd
Port Richey, FL 34667
Phone (727) 819-2929
5731 Bee Ridge Rd
Sarasota, FL 34233
Phone (888) 221-2216
9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000
Networks
- Optimum HealthCare HMO Network
Organizations & group practices 3
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.
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Emergency Medicine Physician
- New Port Richey, FL
- NPI 1568771707
-
- Emergency Medicine Physician
- Clearwater, FL
- NPI 1164459095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365120000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484006400000",
"number": "1699018812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6827 1ST AVE S",
"address_2": "SUITE 200",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337071242",
"telephone_number": "727-757-0575",
"fax_number": "727-333-6020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13670 WALSINGHAM RD",
"city": "LARGO",
"state": "FL",
"postal_code": "337743532",
"telephone_number": "727-593-9848",
"fax_number": "727-596-5432"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEIERHEISER",
"first_name": "KIMBERLY",
"middle_name": "BRENNAN",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-04-05",
"last_updated": "2017-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "ARNP3264472",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "017957800",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Largo, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.