Active NPI
Kimberly Elizabeth Stokes, FNP-C
- Pediatric Nurse Practitioner
- Sachse, TX
National Provider Identifier
1013429901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- AP135650
- Practice address
- 4650 President George Bush Tpke # 108
Sachse, TX 75048-4980 - Phone
- (469) 715-3489
- Fax
- (469) 715-3490
- NPI assigned
- Oct 31, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | AP135650 | TX | Primary |
Addresses
Primary practice location
4650 President George Bush Tpke # 108
Sachse, TX 75048-4980
Mailing address
122 W John Carpenter Fwy Ste 420
Irving, TX 75039-2014
Phone (972) 957-3000
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP135650 | TX | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Michelle Musson PLLC | Single Specialty | Past | Accepting new patients |
| Topcare Medical PA | Single Specialty | Past | Accepting new patients |
| Sachse Pediatrics PLLC | Single Specialty | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ECDGCD/Endpoint/ECDGCD
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509408000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732233600000",
"number": "1013429901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122 W JOHN CARPENTER FWY STE 420",
"city": "IRVING",
"state": "TX",
"postal_code": "750392014",
"telephone_number": "972-957-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4650 PRESIDENT GEORGE BUSH TPKE # 108",
"city": "SACHSE",
"state": "TX",
"postal_code": "750484980",
"telephone_number": "469-715-3489",
"fax_number": "469-715-3490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOKES",
"first_name": "KIMBERLY",
"middle_name": "ELIZABETH",
"credential": "FNP-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-10-31",
"last_updated": "2024-11-22",
"certification_date": "2024-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "AP135650",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sachse, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.