Individual provider Active NPI

Donna June Klement, NP-C

  • Family Nurse Practitioner
  • Southlake, TX
National Provider Identifier
1104287507
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP130152 Issued in TX
Practice address
125 Davis Blvd
Southlake, TX 76092-8209
Phone
(682) 212-9104
Fax
(682) 212-0704
NPI assigned
Mar 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X F0116338 TX
Family Nurse Practitioner 363LF0000X AP130152 TX Primary

Addresses

Primary practice location

125 Davis Blvd
Southlake, TX 76092-8209

Mailing address

1014 E Highway 82 # 319
Gainesville, TX 76240-2721
Phone (940) 736-5306

Other practice location 1

5802 Berryhill Dr
Arlington, TX 76017-3925
Phone (682) 321-7007

Other identifiers 1

IdentifierTypeStateIssuer
362889302MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dklement2659390@Direct.TexasHealth.org Health Information Exchange (HIE)

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160901002142 TX Practitioner - Nurse Practitioner 0840581336 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Health Urgent CareGroup PAC ID 0345654414, 128 clinicians
Cam Equity LLCGroup PAC ID 0547599045, 13 clinicians

Practice addresses (Care Compare)

125 Davis Blvd
Southlake, TX 76092-8209
Phone (682) 212-9104

5802 Berryhill Dr
Arlington, TX 76017-3925
Phone (682) 321-7007

Merit-based Incentive Payment System (MIPS)

Final score
49.67 of 100Reported as group
Quality
78.05
Improvement activities
0
Cost
42.32

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F0116338TXMDNephrology Physician
AP130152TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cam Equity LLC CurrentSince Mar 26, 2024 Accepting new patients
Texas Health Urgent Care CurrentSince Jul 1, 2025 Accepting new patients
Texas Health Urgent Care CurrentSince Jul 1, 2025 Accepting new patients
Texas Health Urgent Care Family Current Accepting new patients
Texas Health Urgent Care Current Accepting new patients

Locations

6411 E Northwest Hwy
Dallas, TX 75231
Phone (469) 495-9110

125 Davis Blvd
Southlake, TX 76092
Phone (682) 212-9104

Interoperability endpoints

  • Direct secure messaging: donna.klement.1@9505.direct.athenahealth.com
  • Direct secure messaging: dklement2659390@direct.texashealth.org
  • Direct secure messaging: donna.klement@direct.davitaphysiciansolutions.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1104287507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 E HIGHWAY 82 # 319",
            "city": "GAINESVILLE",
            "state": "TX",
            "postal_code": "762402721",
            "telephone_number": "940-736-5306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 DAVIS BLVD",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760928209",
            "telephone_number": "682-212-9104",
            "fax_number": "682-212-0704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5802 Berryhill Dr",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "TX",
            "postal_code": "760173925",
            "country_code": "US",
            "telephone_number": "682-321-7007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEMENT",
        "first_name": "DONNA",
        "middle_name": "JUNE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-11",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "F0116338",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP130152",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "362889302",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dklement2659390@Direct.TexasHealth.org",
            "affiliation": "N",
            "endpointDescription": "Health Information Exchange",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "125 Davis Blvd",
            "city": "Southlake",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760928209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

Verify at the official NPI Registry.