Individual provider Active NPI

Katherine Stafford Winsberg

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1225918204
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1211763 Issued in TX
Practice address
4560 W Mockingbird LN # 124
Dallas, TX 75209-5204
Phone
(214) 352-8800
NPI assigned
Sep 2, 2025
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1211763 TX Primary

Addresses

Primary practice location

4560 W Mockingbird LN # 124
Dallas, TX 75209-5204

Mailing address

4560 W Mockingbird LN # 124
Dallas, TX 75209-5204

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
1211763TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1756771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1225918204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4560 W MOCKINGBIRD LN # 124",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752095204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 W MOCKINGBIRD LN # 124",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752095204",
            "telephone_number": "214-352-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINSBERG",
        "first_name": "KATHERINE",
        "middle_name": "STAFFORD",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2025-09-02",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1211763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.