Active NPI
Kimberly Erdmann
- Registered Nurse
- Manitowoc, WI
National Provider Identifier
1780043497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 197654-30
- Practice address
- 1110 S 25TH St
Manitowoc, WI 54220-4808 - Phone
- (920) 323-5655
- NPI assigned
- Feb 23, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 197654-30 | WI | Primary |
Addresses
Primary practice location
1110 S 25TH St
Manitowoc, WI 54220-4808
Mailing address
7109 CTH JJ
Manitowoc, WI 54220-9444
Phone (920) 901-8901
Other names 1
- Kimberly Klein
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 |
|---|---|---|---|
| 197654-30 | WI | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694908800000",
"number": "1780043497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7109 CTH JJ",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542209444",
"telephone_number": "920-901-8901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1110 S 25TH ST",
"city": "MANITOWOC",
"state": "WI",
"postal_code": "542204808",
"telephone_number": "920-323-5655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERDMANN",
"first_name": "KIMBERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-23",
"last_updated": "2023-09-17",
"certification_date": "2023-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WI",
"license": "197654-30",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KIMBERLY",
"last_name": "KLEIN",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Manitowoc, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.