Individual provider Active NPI

Kimberly Fields Giberga

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1114250651
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
749278 Issued in TX
Practice address
5107 Medical Dr
San Antonio, TX 78229
Phone
(210) 614-8612
Fax
(210) 615-5596
NPI assigned
Sep 16, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 749278 TX Primary

Addresses

Primary practice location

5107 Medical Dr
San Antonio, TX 78229

Mailing address

8380 FM 78
Converse, TX 78109-1057
Phone (210) 610-0475

Other names 1

  • Kimberly Fields Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100505000270 TX Practitioner - Nurse Practitioner 3173651544 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Salado Creek Mental Health CurrentSince Nov 30, 2024 Accepting new patients
BHS Physicians Network, Inc Past Accepting new patients
St. David'S Carenow Urgent Care PLLC Past Accepting new patients

Locations

14100 San Pedro Ave
Ste 501
San Antonio, TX 78232
Phone (210) 405-3008

Organizations & group practices 4

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": "1253059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1114250651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8380 FM 78",
            "city": "CONVERSE",
            "state": "TX",
            "postal_code": "781091057",
            "telephone_number": "210-610-0475",
            "fax_number": "210-610-8671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5107 MEDICAL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "78229",
            "telephone_number": "210-614-8612",
            "fax_number": "210-615-5596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIBERGA",
        "first_name": "KIMBERLY",
        "middle_name": "FIELDS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-16",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "749278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "FIELDS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.