Active NPI
Kimberly A Weeks
- Other Technician
- Sumter, SC
National Provider Identifier
1770044075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- 34892
- Practice address
- 5 E Liberty Street
Sumter, SC 29150 - Phone
- (803) 840-3807
- NPI assigned
- Mar 28, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse's Aide | 376K00000X | 550335 | SC | |
| Other Technician | 247200000X | 34892 | SC | Primary |
Addresses
Primary practice location
5 E Liberty Street
Sumter, SC 29150
Mailing address
415 Vining St
Sumter, SC 29150-2840
Phone (803) 773-9756
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34892 | SC | MD | Other Technician |
| 550335 | SC | MD | Nurse's Aide |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553731200000",
"number": "1770044075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 VINING ST",
"city": "SUMTER",
"state": "SC",
"postal_code": "291502840",
"telephone_number": "803-773-9756"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 E LIBERTY STREET",
"city": "SUMTER",
"state": "SC",
"postal_code": "29150",
"telephone_number": "803-840-3807"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEEKS",
"first_name": "KIMBERLY",
"middle_name": "A",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-28",
"last_updated": "2019-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "SC",
"license": "550335",
"primary": false
},
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "SC",
"license": "34892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sumter, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.