Ieshia Kimble, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

1071306 Issued in TX

Practice address

1005 W Ralph Hall Pkwy
Rockwall, TX 75032-6658

Phone

(469) 545-0160

Fax

(469) 589-4976

NPI assigned

Feb 24, 2022

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

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Texas Behavioral Health AuthorityGroup PAC ID 2769804350, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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.

• North Texas Behavioral Health Authority

  • Psychiatry Physician
  • Dallas, TX
  • NPI 1457720120

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Connections Wellness Group

  • Mental Health Counselor
  • Plano, TX
  • NPI 1003398421
  Medicare reassignment NPD
• Mind Haven PLLC

  • Home Health Agency
  • Royse City, TX
  • NPI 1780370544
  NPD Authorized official
• Connections Physicians Group

  • Psychiatry Physician
  • Denton, TX
  • NPI 1841819612
  NPD (past)
• North Texas Behavioral Health Authority

  • Community/Behavioral Health Agency
  • Dallas, TX
  • NPI 1407488463
  NPD (past)

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

{
    "created_epoch": "1645660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739404800000",
    "number": "1124774500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6114 GULLY GROVE DR",
            "city": "ROYSE CITY",
            "state": "TX",
            "postal_code": "751893161",
            "telephone_number": "414-520-7156",
            "fax_number": "469-589-4976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1005 W RALPH HALL PKWY",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750326658",
            "telephone_number": "469-545-0160",
            "fax_number": "469-589-4976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBLE",
        "first_name": "IESHIA",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-02-24",
        "last_updated": "2025-02-13",
        "certification_date": "2025-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1071306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lesli Kilgore
• Sonya Natasha Killebrew
• Chelsey D Kilpatrick
• Kim Bowen MSN Aprn BC Anp PLLC
• Hong Bin Kim, DDS
• Cheresse Kincaid
• Karen Rose King, PT
• Kimberly Yvette King
• Stephanie Michelle King
• Zara Jade King

• Psychiatric/Mental Health Nurse Practitioner in Rockwall, TX
• Providers in Rockwall, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.