Active NPI
Kimberly Villemarette Hull, FNP
- Family Nurse Practitioner
- Bossier City, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP09850
- Practice address
- 5025 Shed Rd
Bossier City, LA 71111-5434 - Phone
- (318) 795-4741
- Fax
- (318) 795-4742
- NPI assigned
- May 2, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP09850 | LA | Primary |
Addresses
Primary practice location
5025 Shed Rd
Bossier City, LA 71111-5434
Mailing address
1959 Wild Iris
Bossier City, LA 71112-4681
Phone (318) 286-3786
Other practice location 1
1455 E Bert Kouns Industrial Loop Ste 300
Shreveport, LA 71105-6000
Phone (318) 798-4488
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- 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, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5025 Shed Rd
Bossier City, LA 71111-5434
Phone (318) 795-4741
Hospital & facility affiliations
- Christus Shreveport-Bossier Health System
- Willis Knighton Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP09850 | LA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highland Clinic, a Prof Med Corp | Current | Accepting new patients | |
| Highland Clinic, a Prof Med Corp | Current | Accepting new patients | |
| Mary Bird Perkins Cancer Center | Past | Accepting new patients | |
| Neurology & Sleep Clinic a Professional Medical Corp | Past | Accepting new patients | |
| Highland Clinic Optical Shop, LLC | Past | Accepting new patients |
Locations
5025 Shed Rd
Bossier City, LA 71111
Phone (318) 795-4741
1455 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 300-3643
1455 E Bert Kouns Industrial Loop
Ste 300
Shreveport, LA 71105
Phone (318) 798-4488
Interoperability endpoints
- kimberly.hull.p1@direct.hcapmc.nextgenshare.com
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Shreveport, LA
- NPI 1053315846
-
- Orthopaedic Surgery Physician
- Bossier City, LA
- NPI 1740897743
-
- Durable Medical Equipment & Medical Supplies
- Shreveport, LA
- NPI 1255320123
-
- Clinical Medical Laboratory
- Baton Rouge, LA
- NPI 1295833580
-
- Sleep Disorder Diagnostic Clinic/Center
- Shreveport, LA
- NPI 1548313034
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1417950106
-
- General Acute Care Hospital
- Bossier City, LA
- NPI 1003968579
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1124170691
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1275685539
-
- General Acute Care Hospital
- Shreveport, LA
- NPI 1568461572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1525219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733270400000",
"number": "1215426432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1959 WILD IRIS",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711124681",
"telephone_number": "318-286-3786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5025 SHED RD",
"city": "BOSSIER CITY",
"state": "LA",
"postal_code": "711115434",
"telephone_number": "318-795-4741",
"fax_number": "318-795-4742"
}
],
"practiceLocations": [
{
"address_1": "1455 E Bert Kouns Industrial Loop Ste 300",
"address_purpose": "LOCATION",
"city": "Shreveport",
"state": "LA",
"postal_code": "711056000",
"country_code": "US",
"telephone_number": "318-798-4488",
"fax_number": "318-798-4672",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HULL",
"first_name": "KIMBERLY",
"middle_name": "VILLEMARETTE",
"name_prefix": "Mrs.",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-02",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "LA",
"license": "AP09850",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bossier City, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.