Individual provider Active NPI

Kimberley Marie Bienvenue

  • Attendant Care Provider
  • Houston, TX
National Provider Identifier
1255624730
Registry record updated May 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
License
637494 Issued in TX
Practice address
11314 Wickersham LN
Houston, TX 77077-6826
Phone
(281) 221-0256
Fax
(832) 288-3640
NPI assigned
May 17, 2011
Last updated
May 17, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Driver 172A00000X 637494 TX
Attendant Care Provider 3747A0650X 637494 TX Primary

Addresses

Primary practice location

11314 Wickersham LN
Houston, TX 77077-6826

Mailing address

11314 Wickersham LN
Houston, TX 77077-6826
Phone (281) 221-0256

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
637494TXMDDriver

NPI Registry JSON

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

{
    "created_epoch": "1305590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305590400000",
    "number": "1255624730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11314 WICKERSHAM LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770776826",
            "telephone_number": "281-221-0256",
            "fax_number": "832-288-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11314 WICKERSHAM LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770776826",
            "telephone_number": "281-221-0256",
            "fax_number": "832-288-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIENVENUE",
        "first_name": "KIMBERLEY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-17",
        "last_updated": "2011-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "",
            "desc": "Driver",
            "state": "TX",
            "license": "637494",
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "TX",
            "license": "637494",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2011; 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.