Active NPI
Ellen Christine Kilpatrick, RN
- Diabetes Educator Registered Nurse
- San Antonio, TX
National Provider Identifier
1255158903
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- 663515
- Practice address
- 9939 Texas 151 Access Rd
San Antonio, TX 78251 - Phone
- (210) 771-5098
- NPI assigned
- Sep 24, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | 663515 | TX | Primary |
Addresses
Primary practice location
9939 Texas 151 Access Rd
San Antonio, TX 78251
Mailing address
12018 Elijah Stapp
San Antonio, TX 78253-5095
Phone (210) 240-9526
Other names 1
- Ellen Christine Humphrey
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 663515 | TX | MD | Diabetes Educator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727136000000",
"number": "1255158903",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12018 ELIJAH STAPP",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782535095",
"telephone_number": "210-240-9526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9939 TEXAS 151 ACCESS RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "78251",
"telephone_number": "210-771-5098"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILPATRICK",
"first_name": "ELLEN",
"middle_name": "CHRISTINE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-24",
"last_updated": "2024-09-24",
"certification_date": "2024-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "TX",
"license": "663515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELLEN",
"last_name": "HUMPHREY",
"middle_name": "CHRISTINE",
"credential": "RN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.