Kimberly Winn, NP
Individual provider Active NPI Nurse Practitioner · Palestine, TX
NPI 1114369451 · NPPES record last updated Jul 29, 2013
Key facts
- NPI
- 1114369451
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- APN0000017398 (TN)
- Practice address
- 2900 S Loop 256
Palestine, TX 75801-6958 - Phone
- (903) 731-1021
- Fax
- (903) 731-1265
- NPI assigned
- Jul 29, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- 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 | |
| Camino Real Emergency Physicians PLLC | Nurse Practitioner | Past | Accepting new patients |
| Texas Emergency Room Services PA | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | APN0000017398 | TN | Yes |
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
Other providers in Palestine, TX
- Kathy Williams
- Mandy Williamson
- Willow Creek Surgery Center LP
- Alicia Danielle Wilmeth
- Mallory Paige Winkler
- Winnie-Stowell Hospital District
- Thomas Lee Witte
- Women'S Health Connections
- Eden Yohannes
- Zachary Zane Leslie DC PA
All providers in Palestine, TX · Nurse Practitioner in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 29, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.