Ronald G Kimmel, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP131289 Issued in TX

Practice address

2401 Ira E Woods Ave
Ste. 600
Grapevine, TX 76051-3997

Phone

(817) 488-9991

NPI assigned

Jun 30, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Corpus Pain and Health PLLC

  • Nurse Practitioner
  • Corpus Christi, TX
  • NPI 1407577687
  NPD Authorized official
• South Texas Pain and Neurocare PLLC

  • Interventional Pain Medicine Physician
  • Corpus Christi, TX
  • NPI 1881315075
  NPD Authorized official

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

{
    "created_epoch": "1467244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1053762070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5573 SEABURY DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761375393",
            "telephone_number": "817-897-7494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 IRA E WOODS AVE",
            "address_2": "STE. 600",
            "city": "GRAPEVINE",
            "state": "TX",
            "postal_code": "760513997",
            "telephone_number": "817-488-9991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMMEL",
        "first_name": "RONALD",
        "middle_name": "G",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-30",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew H Kilgus, MD
• Joseph Richard Kilianski Jr., MD
• Ashley Kim
• Kimberly S. Marshall, M.D., P.a.
• Kimberly Salinas Marshall MD, PA
• April Kindle
• Mallory Ann King, PT
• Stephanie Christine King, DPT
• Janet Kinney, M.D
• Adrin Maria Kirk

• Family Nurse Practitioner in Grapevine, TX
• Providers in Grapevine, 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 Jun 30, 2016; 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.