Kiem Goldsberry, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

2012029170 Issued in MO

Practice address

130 Calo LN
Lake Ozark, MO 65049-9208

Phone

(573) 745-5253

NPI assigned

Apr 17, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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": "1744848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1811783681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 BEAR PAW RD",
            "city": "CAMDENTON",
            "state": "MO",
            "postal_code": "650203826",
            "telephone_number": "573-286-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 CALO LN",
            "city": "LAKE OZARK",
            "state": "MO",
            "postal_code": "650499208",
            "telephone_number": "573-745-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLDSBERRY",
        "first_name": "KIEM",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-17",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MO",
            "license": "2012029170",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly K Frisella, O.D.
• Nicole R Fuglsang, MA, LPC
• Brenn Robert Gent, LPC
• Larry Mark Goforth, D.C.
• Katrina Lynn Goldsberry, RN
• Alicia Nicole Goodhart
• Rhonda Groose
• Lisa K. Groves, OD
• Karen S. Hayes, N.P.
• Rebecca Hays, LCSW

• General Practice Registered Nurse in Lake Ozark, MO
• Providers in Lake Ozark, MO by specialty
• General Practice Registered Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; 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.