Active NPI
Kimberly Nicole Wohlberg, FNP-C
- Family Nurse Practitioner
- Indianapolis, IN
National Provider Identifier
1891467304
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71011662A
- Practice address
- 8433 Harcourt Rd Ste 100
Indianapolis, IN 46260-2193 - Phone
- (317) 583-7600
- NPI assigned
- Oct 3, 2021
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71011662A | IN | Primary |
Addresses
Primary practice location
8433 Harcourt Rd Ste 100
Indianapolis, IN 46260-2193
Mailing address
8433 Harcourt Rd Ste 100
Indianapolis, IN 46260-2193
Other practice location 1
1317 N. State Street
Greenfield, IN 46240
Phone (317) 967-2167
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)
- Enrolled
Interoperability endpoints
- kimberly.wohlberg.1@7598.direct.athenahealth.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696464000000",
"number": "1891467304",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8433 HARCOURT RD STE 100",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462602193"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8433 HARCOURT RD STE 100",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462602193",
"telephone_number": "317-583-7600"
}
],
"practiceLocations": [
{
"address_1": "1317 N. State Street",
"address_purpose": "LOCATION",
"city": "Greenfield",
"state": "IN",
"postal_code": "46240",
"country_code": "US",
"telephone_number": "317-967-2167",
"fax_number": "317-967-2168",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WOHLBERG",
"first_name": "KIMBERLY",
"middle_name": "NICOLE",
"name_prefix": "Mrs.",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-03",
"last_updated": "2023-10-05",
"certification_date": "2023-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71011662A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.