Active NPI
Kimberly Winn, NP
- Nurse Practitioner
- Palestine, TX
National Provider Identifier
1114369451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- APN0000017398
- Practice address
- 2900 S Loop 256
Palestine, TX 75801-6958 - Phone
- (903) 731-1021
- Fax
- (903) 731-1265
- NPI assigned
- Jul 29, 2013
- Last updated
- Jul 29, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APN0000017398 | TN | Primary |
Addresses
Primary practice location
2900 S Loop 256
Palestine, TX 75801-6958
Mailing address
PO Box 708760
Sandy, UT 84070-8760
Phone (801) 352-9500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APN0000017398 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apogee Medical Group California Inc. | Past | Accepting new patients | |
| Texas Emergency Room Services PA | Past | Accepting new patients | |
| Camino Real Emergency Physicians PLLC | Nurse Practitioner | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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Nurse Practitioner
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- NPI 1992843387
-
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- NPI 1447482039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375056000000",
"number": "1114369451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 708760",
"city": "SANDY",
"state": "UT",
"postal_code": "840708760",
"telephone_number": "801-352-9500",
"fax_number": "801-352-7976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 S LOOP 256",
"city": "PALESTINE",
"state": "TX",
"postal_code": "758016958",
"telephone_number": "903-731-1021",
"fax_number": "903-731-1265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WINN",
"first_name": "KIMBERLY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-29",
"last_updated": "2013-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TN",
"license": "APN0000017398",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palestine, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.