Kimberly Michelle Waller, LPN
NPI 1407298698ActiveIndividual· Licensed Practical Nurse· Chicago, IL
Licensed Practical Nurse (LPN) in Chicago, Illinois, licensed in IL and OH, with an NPI issued in July 2013.
Overview
| NPI | 1407298698 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LPN |
| Sole proprietor | Yes |
| NPI issued | Jul 29, 2013 |
| Last updated in NPPES | Jul 21, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Licensed Practical Nurse Primary | 164W00000X | 043120655 | IL |
| Licensed Practical Nurse | 164W00000X | 128873 | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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