KMG Nurse Practitioner Services LLC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP115987 Issued in TX

Legal business name

KMG NURSE PRACTITIONER SERVICES LLC

Practice address

7926 Maddie LN
San Antonio, TX 78255-9524

Phone

(210) 827-1218

Fax

(210) 475-3366

NPI assigned

Nov 14, 2016

Organization subpart

No

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

Authorized official

Name

Kara Goodspeed, N. P.

Title

Owner

Phone

(210) 827-1218

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1479081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479081600000",
    "number": "1053853663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7926 MADDIE LN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782559524",
            "telephone_number": "210-827-1218",
            "fax_number": "210-475-3366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7926 MADDIE LN",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782559524",
            "telephone_number": "210-827-1218",
            "fax_number": "210-475-3366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KMG NURSE PRACTITIONER SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-14",
        "last_updated": "2016-11-14",
        "status": "A",
        "authorized_official_last_name": "GOODSPEED",
        "authorized_official_first_name": "KARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "210-827-1218",
        "authorized_official_credential": "N. P."
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP115987",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "185831801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Klutho
• Kendra E Kluting
• Christien Kluwe, MD
• KM Remodeling LLC
• KMB Family Medicine, P.a.
• McKenzie Knapick, PA
• Robert V. Knapp, M.D.
• William Bruce Knapp, OD
• Mitchell Knauth, LAT
• KND Development 59 LLC

• Family Nurse Practitioner in San Antonio, TX
• Providers in San Antonio, 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 Nov 14, 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.