Individual provider Active NPI

Kierra D Poole

  • Social Worker
  • Killeen, TX
National Provider Identifier
1194685701
Registry record updated Nov 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
69640 Issued in TX
Practice address
1711 E Central Texas Expy Ste 301
Killeen, TX 76541-9147
Phone
(254) 599-8181
Fax
(254) 213-4200
NPI assigned
Nov 15, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 69640 TX Primary

Addresses

Primary practice location

1711 E Central Texas Expy Ste 301
Killeen, TX 76541-9147

Mailing address

2616 Taylor Ridge Rd
Temple, TX 76502-8834
Phone (832) 977-7470

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
69640TXMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
E I Phillips-Young PLLC CurrentSince Nov 18, 2025 Accepting new patients

Locations

1711 E Central Texas Expy
Ste 301
Killeen, TX 76541
Phone (254) 458-2353

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.

NPI Registry JSON

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

{
    "created_epoch": "1763164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763164800000",
    "number": "1194685701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2616 TAYLOR RIDGE RD",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765028834",
            "telephone_number": "832-977-7470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 E CENTRAL TEXAS EXPY STE 301",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765419147",
            "telephone_number": "254-599-8181",
            "fax_number": "254-213-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POOLE",
        "first_name": "KIERRA",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-15",
        "last_updated": "2025-11-15",
        "certification_date": "2025-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "69640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Killeen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.