Kimela Ann Ledbetter, R.N.

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

620860 Issued in TX

Practice address

1101 S Main St
Suite 1600
Fort Worth, TX 76104-4802

Phone

(817) 321-4900

Fax

(817) 850-8511

NPI assigned

Jan 13, 2012

Sex

Female

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

Credentials

Registered Nurse

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.

• County of Tarrant

  dba Tarrant County Public Health

  • Public Health or Welfare Agency
  • Fort Worth, TX
  • NPI 1194783183
  NPD (past)

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

{
    "created_epoch": "1326412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326412800000",
    "number": "1093086670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2845 FOREST AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761126606",
            "telephone_number": "817-446-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 S MAIN ST",
            "address_2": "SUITE 1600",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044802",
            "telephone_number": "817-321-4900",
            "fax_number": "817-850-8511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDBETTER",
        "first_name": "KIMELA",
        "middle_name": "ANN",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-13",
        "last_updated": "2012-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "TX",
            "license": "620860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• George Franklin Lebus V, M.D.
• Erin Lecheminant, CCC-SLP
• Bren Ledbetter, RN
• Deborah Ledbetter
• Jason S. Ledbetter, M.D.
• Raegan Marie Ledbetter, LAT, ATC
• James Raymond Leddy, PA
• Lizvet Ledesma
• Ginger Ann Ledet, LPC
• Mayra Alejandra Ledezma, LCSW

• Community Health Registered Nurse in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Community Health Registered Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2012; 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.