Kimberly Ann Weller, RNC

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

4704159179 Issued in MI

Practice address

43097 Woodward Ave
Suite 201
Bloomfield Hills, MI 48302-5041

Phone

(248) 454-9000

Fax

(248) 454-9100

NPI assigned

May 28, 2010

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

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pediatric Specialists of Bloomfield Hills,P.C

  • Pediatrics Physician
  • Bloomfield Hills, MI
  • NPI 1023197357
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1275004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275004800000",
    "number": "1821317876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43097 WOODWARD AVE",
            "address_2": "SUITE 201",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025041",
            "telephone_number": "248-454-9000",
            "fax_number": "248-454-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43097 WOODWARD AVE",
            "address_2": "SUITE 201",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483025041",
            "telephone_number": "248-454-9000",
            "fax_number": "248-454-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLER",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RNC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-28",
        "last_updated": "2010-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704159179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Weight Loss of Michigan PLC
• Aaron Matthias Wein, RPH
• David Benjamin Weinfeld, MD
• Alison Reiter Weinhaus, LMSW
• Michael S Weishaus, O.D.
• Kelly Wellington, STUDENT HEALTH CARE
• Mark Steven Wells, LMSW, CAADC, CCSOTS
• Ryan Wells
• Wellstreet Urgent Care of Michigan
• Wellstreet Urgent Care of Michigan

• Registered Nurse in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Registered Nurse in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2010; 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.