Active NPI
Kylie B Carimi, APRN, FNP-C
- Nurse Practitioner
- Tyler, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 1150858
- Practice address
- 700 Olympic Plaza Cir Ste 850
Tyler, TX 75701-1955 - Phone
- (903) 595-2441
- Fax
- (903) 595-0743
- NPI assigned
- Feb 2, 2022
- Last updated
- Oct 22, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 1150858 | TX | Primary |
| Registered Nurse | 163W00000X | 967479 | TX |
Addresses
Primary practice location
700 Olympic Plaza Cir Ste 850
Tyler, TX 75701-1955
Mailing address
700 Olympic Plaza Cir Ste 850
Tyler, TX 75701-1955
Phone (903) 595-2441
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
700 Olympic Plaza Cir
Suite 850
Tyler, TX 75701-1955
Phone (903) 595-2441
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 967479 | TX | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tyler Neurosurgical Associates, P.a. | Current | Accepting new patients |
Locations
700 Olympic Plaza Cir
Ste 850
Tyler, TX 75701
Phone (903) 595-2441
Interoperability endpoints
- kcarimi350167@ahs.direct-ci.com
- kylie.carimi.1@31741.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Neurological Surgery Physician
- Tyler, TX
- NPI 1164419727
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital
- Tyler, TX
- NPI 1174021695
Inpatient rehabilitation facility
-
dba Baylor Scott & White TX Spine & Joint Hos Imaging Ctr
- General Acute Care Hospital
- Tyler, TX
- NPI 1942292255
-
dba Nacogdoches Medical Center
- General Acute Care Hospital
- Nacogdoches, TX
- NPI 1700885076
-
- General Acute Care Hospital
- Tyler, TX
- NPI 1407364847
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729555200000",
"number": "1174276737",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 OLYMPIC PLAZA CIR STE 850",
"city": "TYLER",
"state": "TX",
"postal_code": "757011955",
"telephone_number": "903-595-2441",
"fax_number": "903-595-0743"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 OLYMPIC PLAZA CIR STE 850",
"city": "TYLER",
"state": "TX",
"postal_code": "757011955",
"telephone_number": "903-595-2441",
"fax_number": "903-595-0743"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARIMI",
"first_name": "KYLIE",
"middle_name": "B",
"credential": "APRN, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-02",
"last_updated": "2024-10-22",
"certification_date": "2024-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "TX",
"license": "1150858",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "967479",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tyler, TX
- Cardiovascular Associates of East Texas PA
- Care First Pharmacy, LLC (Smart Rx Pharmacy 20001)
- Carefirst Medical Associates and Pain Rehabilitation, PA
- Carey Prosperie Pharmacy Inc (Medicine Shoppe)
- Leann M Cargile, OTR
- Caring Hands Ppecc of Texas, LLC.
- Carl U Westbrook, II, MD, PA
- Stephanie H Carl, MD
- Carla Carlock-Self, LPC
- Stacie G Carlock, DNP, APRN, NNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.