Provider Demographics
NPI:1508745712
Name:BEIERMANN, KIMBERLEY
Entity type:Individual
Prefix:
First Name:KIMBERLEY
Middle Name:
Last Name:BEIERMANN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KIMBERLEY
Other - Middle Name:
Other - Last Name:BEIERMANN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7205 S 158TH AVENUE CIR
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68136-1099
Mailing Address - Country:US
Mailing Address - Phone:402-210-4713
Mailing Address - Fax:
Practice Address - Street 1:7205 S 158TH AVENUE CIR
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68136-1099
Practice Address - Country:US
Practice Address - Phone:402-210-4713
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-01
Last Update Date:2025-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant