Active NPI
Kimberley Dalton Chitko, ARNP
- Family Nurse Practitioner
- Bedford, TX
National Provider Identifier
1164559589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP117670
- Practice address
- 1604 Hospital Pkwy Ste 200
Bedford, TX 76022 - Phone
- (817) 848-4485
- Fax
- (817) 848-4490
- NPI assigned
- Feb 27, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 9232299 | FL | |
| Family Nurse Practitioner | 363LF0000X | 0024170572 | VA | |
| Family Nurse Practitioner | 363LF0000X | R156907 | MD | |
| Family Nurse Practitioner | 363LF0000X | AP117670 | TX | Primary |
Addresses
Primary practice location
1604 Hospital Pkwy Ste 200
Bedford, TX 76022
Mailing address
1604 Hospital Pkwy Ste 200
Bedford, TX 76022-6930
Phone (817) 848-4485
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9232299 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neurologic Associates PLC | Current | Accepting new patients |
Locations
905 Cedar Creek Grade
Ste 200
Winchester, VA 22601
Phone (540) 722-8882
Organizations & group practices 1
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.
-
- Neurology Physician
- Winchester, VA
- NPI 1629010095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535414400000",
"number": "1164559589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1604 HOSPITAL PKWY STE 200",
"city": "BEDFORD",
"state": "TX",
"postal_code": "760226930",
"telephone_number": "817-848-4485",
"fax_number": "817-848-4490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1604 HOSPITAL PKWY STE 200",
"city": "BEDFORD",
"state": "TX",
"postal_code": "76022",
"telephone_number": "817-848-4485",
"fax_number": "817-848-4490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHITKO",
"first_name": "KIMBERLEY",
"middle_name": "DALTON",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2018-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "9232299",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "VA",
"license": "0024170572",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "R156907",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "AP117670",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bedford, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.