Individual provider Active NPI

Kimberly Joann Webster, RN

  • Holistic Clinical Nurse Specialist
  • Prescott, AZ
National Provider Identifier
1992632186
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Holistic Clinical Nurse SpecialistTaxonomy code 364SH1100X
License
247748 Issued in AZ
Practice address
682 N Creekside Dr
Prescott, AZ 86303-6821
Phone
(330) 466-0161
NPI assigned
May 4, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Holistic Clinical Nurse SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 364SH1100X 247748 AZ Primary

Addresses

Primary practice location

682 N Creekside Dr
Prescott, AZ 86303-6821

Mailing address

2942 N 24TH St Ste 115
Phoenix, AZ 85016-7849
Phone (928) 224-9279

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)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
247748AZMDHolistic Clinical Nurse Specialist

NPI Registry JSON

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

{
    "created_epoch": "1777852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1992632186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2942 N 24TH ST STE 115",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850167849",
            "telephone_number": "928-224-9279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "682 N CREEKSIDE DR",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863036821",
            "telephone_number": "330-466-0161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "KIMBERLY",
        "middle_name": "JOANN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SH1100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Clinical Nurse Specialist, Holistic",
            "state": "AZ",
            "license": "247748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.