Kimbria Nicole Blunt, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1152945 Issued in TX

Practice address

17904 W Lake Houston Pkwy Ste 703
Humble, TX 77346-6237

Phone

(281) 346-7752

Fax

(866) 263-0972

NPI assigned

Jul 9, 2024

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Kimbria Nicole Blunt Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Vitality Wellness LLC

  dba Vitality Hormones & IV Bar

  • Primary Care Nurse Practitioner
  • Spring, TX
  • NPI 1891499497
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1720483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1023855079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17904 W LAKE HOUSTON PKWY STE 703",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773466237",
            "telephone_number": "281-346-7752",
            "fax_number": "866-263-0972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17904 W LAKE HOUSTON PKWY STE 703",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773466237",
            "telephone_number": "281-346-7752",
            "fax_number": "866-263-0972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUNT",
        "first_name": "KIMBRIA",
        "middle_name": "NICOLE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-09",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1152945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBRIA",
            "last_name": "BLUNT",
            "middle_name": "NICOLE",
            "credential": "FNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Blossom Manor LLC
• Blossom Manor LLC
• Latonya Danielle Blount, BS, MS-CMHC
• Blueventra LLC
• Blueventra LLC
• BNN Anesthesia PLLC
• Sandy Heidel Bocklud, NNP
• Alexis Latreese Boddie, NP
• Travis Bodeker, DPM
• Body and Mind Renewal HTX

• Family Nurse Practitioner in Humble, TX
• Providers in Humble, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.