Kimberly Regina Huseman, AGACNP-BC

Key facts

NPI

1144935818

Entity type

Individual (NPI type 1)

Primary specialty

Acute Care Nurse Practitioner 363LA2100X

License

1107092 (TX)

Practice address

2008 Nine Rd
Brady, TX 76825-7210

Phone

(325) 597-2901

NPI assigned

Jan 17, 2023

Sex

Female

Sole proprietor

No

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.

• Texas Health Physicians Group Internal Medicine Physician · Fort Worth, TX · NPI 1174573596
  Medicare reassignment TX
• Texas Health Physicians Group Sleep Disorder Diagnostic Clinic/Center · Fort Worth, TX · NPI 1114395969
  NPD
• Texas Health Physicians Group Sleep Disorder Diagnostic Clinic/Center · Dallas, TX · NPI 1174992051
  NPD
• Texas Health Physicians Group Internal Medicine Physician · Kaufman, TX · NPI 1992151740
  NPD

Medicare participation

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: khuseman66915@shannonhealth.direct-ci.com

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 25, 2024.

{
    "created_epoch": "1673913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719273600000",
    "number": "1144935818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2008 NINE RD",
            "city": "BRADY",
            "state": "TX",
            "postal_code": "768257210",
            "telephone_number": "325-597-2901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2008 NINE RD",
            "city": "BRADY",
            "state": "TX",
            "postal_code": "768257210",
            "telephone_number": "325-597-2901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUSEMAN",
        "first_name": "KIMBERLY",
        "middle_name": "REGINA",
        "credential": "AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-17",
        "last_updated": "2024-06-25",
        "certification_date": "2024-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "1107092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brady, TX

• Mark L Hedlund, M.D.
• Sueellen Hernandez, LVN
• Kevin Daniel Hodnett, MD
• Jana Gay Holubec, MS, CCC/SLP
• Suzanne Holubec, LBSW,IPR
• Susan D. Jolliff, D.D.S.
• Alexandria Elaine Jordan, APRN, FNP-C
• Kevin Hodnett MD PLLC
• Marion Jo Kitsmiller, PA
• Ronald Dean Klein, D.D.S.

All providers in Brady, TX · Acute Care Nurse Practitioner in Texas