Kimberly Weber

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

869414 Issued in MS

Practice address

301 Fisher St
Keesler Afb, MS 39534-2508

Phone

(228) 376-3862

Fax

(228) 376-0082

NPI assigned

Jan 16, 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

State licenses

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

{
    "created_epoch": "1736985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1871304196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20041 TOURNAMENT CV N",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395039594",
            "telephone_number": "228-243-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 FISHER ST",
            "city": "KEESLER AFB",
            "state": "MS",
            "postal_code": "395342508",
            "telephone_number": "228-376-3862",
            "fax_number": "228-376-0082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBER",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-16",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "MS",
            "license": "869414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Mark Watson, MD
• James Matthew Watson, MD
• John Devin Blackwell Watson, M.D.
• Daniel John Wattendorf, M.D.
• James Kevin Webb, CRNA
• Kathryn W. Weiss, CRNA
• Kathryn Welch, MCN, RDN, LD
• Stuart Weston, MD
• Forrest Brandon Witt, MD
• Sione Tufui Wolfgramm, MD

• Case Management Registered Nurse in Keesler Afb, MS
• Providers in Keesler Afb, MS by specialty
• Case Management Registered Nurse in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 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.