MS. KIMBERLY D WIERSMA (NPI# 1255674016) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255674016 |
| Entity Type | Individual |
| Full Name | MS. KIMBERLY D WIERSMA |
| Credential | ACNP-BC |
| Practice Address |
660 N Westmoreland Rd Women's Center, Suite 100 Lake Forest IL 60045-1659 |
| Practice Telephone | 8475822134 |
| Practice Fax Number | 8475357285 |
| Mailing Telephone | 8475822134 |
| Mailing Fax Number | 8475357285 |
| Enumeration Date | 2013-03-30 |
| Last Update Date | 2013-03-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
209004179 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
660 N WESTMORELAND RD WOMEN'S CENTER, SUITE 100 |
| City | LAKE FOREST |
| State | IL |
| Zip Code | 60045-1659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588661318 | Regis J Weiss | Obstetrics & Gynecology | 660 N Westmoreland Rd, Suite 306, Lake Forest, IL 60045-1659 | 2005-07-07 |
| 1508377532 | Meghan Strand | Physician Assistant | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2017-10-17 |
| 1538689864 | Amanda D Froeming | Physician Assistant | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2017-06-27 |
| 1639608409 | Kristin Rae Elinski | Physician Assistant | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2017-06-06 |
| 1386173235 | Erika L Tait | Physician Assistant | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2017-06-05 |
| 1437685252 | Melissa Kathryn Demiglio | Physician Assistant | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2017-05-11 |
| 1891231312 | Jill Alden | Clinical Nurse Specialist | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2017-01-07 |
| 1588108203 | Sarah Latoria | Nurse Practitioner | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2016-12-14 |
| 1184172488 | Ken Dizon | Registered Nurse | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2016-09-14 |
| 1194182949 | Meagan Reitz | Physician Assistant | 660 N Westmoreland Rd, Lake Forest, IL 60045-1659 | 2016-01-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851931109 | Spine & Wellness Clinic, Inc. | Chiropractor | 775 N Bank Lane Suite 101, Lake Forest, IL 60045 | 2020-01-14 |
| 1184278640 | Mary Belluomini Dipietro | Dietitian, Registered | 1000 North Westmoreland Rd., Lake Forest, IL 60045 | 2019-08-01 |
| 1336621747 | Brook Elizabeth Orvis | Physical Therapist | 1000 N Westmoreland Road, 2nd Floor, Pavilion B, Lake Forest, IL 60045 | 2018-08-31 |
| 1336621028 | Michelle Nebel | Audiologist | 225 East Deerpath, Suite 223, Lake Forest, IL 60045 | 2018-08-30 |
| 1467951731 | Devan Keesling | Audiologist | 800 N Westmoreland Rd Ste Ll30, Lake Forest, IL 60045 | 2018-02-01 |
| 1023516796 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1000 N Westmoreland Rd Ste A, Lake Forest, IL 60045 | 2018-01-29 |
| 1275056780 | Karen Elizabeth Cohen | Counselor | 1331 S. Estate Lane, Lake Forest, IL 60045 | 2017-07-18 |
| 1497281711 | Caroline Connors | Speech-Language Pathologist | 660 Westmoreland Road, Lake Forest, IL 60045 | 2017-05-05 |
| 1013453406 | Katie L Konopacz | Nurse Practitioner | 1000 N Westmoreland Rd # B, Lake Forest, IL 60045 | 2017-01-10 |
| 1225424575 | Sean Robert Wessel | Internal Medicine | 1000 N Westmoreland Rd Ste 3556, Lake Forest, IL 60045 | 2015-04-14 |
| Find all providers in zip 60045 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437759461 | Sarah Westerman | Nurse Practitioner | 721 Dover Ct, Pingree Grove, IL 60140-9181 | 2020-10-28 |
| 1609485424 | Intensive Karen LLC | Nurse Practitioner | 612 Mulford St Apt 503, Evanston, IL 60202-3531 | 2020-07-28 |
| 1609484591 | Jennifer Kuczero | Nurse Practitioner | 4059 W 89th Pl, Hometown, IL 60456-1202 | 2020-07-16 |
| 1205452489 | Aneta Trybula | Nurse Practitioner | 10604 W 154th Pl, Orland Park, IL 60462-6025 | 2020-06-23 |
| 1740742170 | Jenna C Reeh | Nurse Practitioner | 1740 W Taylor St # 605e, Chicago, IL 60612-7232 | 2019-04-04 |
| 1588125116 | Sherryl Estorque | Nurse Practitioner | 9033 W Heathwood Cir, Niles, IL 60714-5807 | 2019-03-27 |
| 1992276497 | Laura Beth Miller | Nurse Practitioner | 302 W Hay St Ste 110, Decatur, IL 62526-4167 | 2018-12-09 |
| 1932674322 | Ashleigh M Poptic | Nurse Practitioner | 675 N St Claire St Ste 19-100, Galter Pavilion, Chicago, IL 60611-5969 | 2018-10-11 |
| 1215415039 | Julieanne Ferguson | Nurse Practitioner | 251 E Huron St Dept Of, Chicago, IL 60611-2908 | 2018-08-02 |
| 1275024523 | Lateisha Nicole Fort | Nurse Practitioner | 1222 E 170th St, South Holland, IL 60473-3558 | 2018-05-22 |
| Find all providers with the same taxonomy | ||||
| City | LAKE FOREST |
| Zip Code | 60045 |
Please comment or provide details below to improve the information on MS. KIMBERLY D WIERSMA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.