Active NPI
Nathan A Kimbrel, PH.D.
- Clinical Psychologist
- Waco, TX
National Provider Identifier
1003048604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- 1979
- Practice address
- 4800 Memorial Drive (151C), Center of Excellence
Central Texas Veterans Health Care System
Waco, TX 76711-1329 - Phone
- (254) 297-5232
- NPI assigned
- Aug 14, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | 1979 | KS | Primary |
Addresses
Primary practice location
4800 Memorial Drive (151C), Center of Excellence
Central Texas Veterans Health Care System
Waco, TX 76711-1329
Mailing address
4800 Memorial Drive (151C), Center of Excellence
Central Texas Veterans Health Care System
Waco, TX 76711-1329
Phone (254) 297-5232
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
- Doctor of Philosophy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250208000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1313107200000",
"number": "1003048604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4800 MEMORIAL DRIVE (151C), CENTER OF EXCELLENCE",
"address_2": "CENTRAL TEXAS VETERANS HEALTH CARE SYSTEM",
"city": "WACO",
"state": "TX",
"postal_code": "767111329",
"telephone_number": "254-297-5232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4800 MEMORIAL DRIVE (151C), CENTER OF EXCELLENCE",
"address_2": "CENTRAL TEXAS VETERANS HEALTH CARE SYSTEM",
"city": "WACO",
"state": "TX",
"postal_code": "767111329",
"telephone_number": "254-297-5232"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMBREL",
"first_name": "NATHAN",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-08-14",
"last_updated": "2011-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "KS",
"license": "1979",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waco, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.