Active NPI
Kimberly Joy Staton, FNP
- Family Nurse Practitioner
- Galveston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1017785
- Practice address
- 301 University Blvd
Galveston, TX 77555-5303 - Phone
- (409) 772-1011
- NPI assigned
- Oct 23, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1017785 | TX | |
| Family Nurse Practitioner | 363LF0000X | 1017785 | TX | Primary |
Addresses
Primary practice location
301 University Blvd
Galveston, TX 77555-5303
Mailing address
PO Box 650859 Dept 710
Dallas, TX 75265-4017
Phone (409) 772-0620
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10121 Emmett F Lowry Expy
Texas City, TX 77591-2286
Phone (409) 986-9686
Hospital & facility affiliations
- University of Texas Medical Branch Galveston
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Utmb Faculty Group Practice | Current | Accepting new patients | |
| Emergency Medicine Services of TX, PLLC | Current | Accepting new patients | |
| University of Texas Medical Branch at Galveston | Past | Accepting new patients |
Locations
2020 E Highway 6
Alvin, TX 77511
Phone (281) 585-2530
2327 E Mulberry St
Angleton, TX 77515
Phone (979) 848-1886
225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400
301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883
6191 E Sam Houston Pkwy N
#B
Houston, TX 77049
Phone (713) 295-5300
511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001
2240 Gulf Fwy S
League City, TX 77573
Phone (832) 505-1000
11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000
7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564
10121 Emmett F Lowry Expy
Texas City, TX 77591
Phone (409) 938-8466
26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700
Interoperability endpoints
- kstatonrn32522@direct.utmb.edu
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.
-
- General Practice Physician
- Galveston, TX
- NPI 1942241146
-
- Emergency Medicine Physician
- San Antonio, TX
- NPI 1245938729
-
- Community/Retail Pharmacy
- Friendswood, TX
- NPI 1699532861
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Galveston, TX
- NPI 1548226988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721952000000",
"number": "1023617685",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 650859 DEPT 710",
"city": "DALLAS",
"state": "TX",
"postal_code": "752654017",
"telephone_number": "409-772-0620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 UNIVERSITY BLVD",
"city": "GALVESTON",
"state": "TX",
"postal_code": "775555303",
"telephone_number": "409-772-1011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STATON",
"first_name": "KIMBERLY",
"middle_name": "JOY",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-23",
"last_updated": "2024-07-26",
"certification_date": "2024-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1017785",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1017785",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Galveston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.