Kimberly King Nelson Wederquist

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

096865 Issued in IA

Practice address

417 10TH Ave N
Fort Dodge, IA 50501-2503

Phone

(515) 408-7353

NPI assigned

Apr 10, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

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": "1397088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397088000000",
    "number": "1972922458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 10TH AVE N",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505012503",
            "telephone_number": "515-408-7353"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 10TH AVE N",
            "city": "FORT DODGE",
            "state": "IA",
            "postal_code": "505012503",
            "telephone_number": "515-408-7353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING NELSON WEDERQUIST",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-10",
        "last_updated": "2014-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "096865",
            "primary": true
        },
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "IA",
            "license": "096865",
            "primary": false
        },
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "IA",
            "license": "096865",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "IA",
            "license": "096865",
            "primary": false
        },
        {
            "code": "163WW0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Wound Care",
            "state": "IA",
            "license": "096865",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kersten Hearing Services LLC
• Laura M Kersten, MA
• KFL Radiology PLC
• Kathy M Khommanyvong, LMSW
• Hyun Joo Kim, PHARMD
• Joan Lee Kitten, ARNP
• Kathline K Kitterman, MA- SLP
• Melissa A Klass, CADC
• Amanda Klusman
• James H Knight, DDS

• Registered Nurse in Fort Dodge, IA
• Providers in Fort Dodge, IA by specialty
• Registered Nurse in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; 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.