Individual provider Active NPI

Kim G Nunez, ANP

  • Adult Health Nurse Practitioner
  • Katy, TX
National Provider Identifier
1285917575
Registry record updated Aug 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
716275 Issued in TX
Practice address
5110 Eule Dr
Katy, TX 77493-9504
Phone
(832) 545-5658
NPI assigned
Sep 22, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 716275 TX Primary

Addresses

Primary practice location

5110 Eule Dr
Katy, TX 77493-9504

Mailing address

5110 Eule Dr
Katy, TX 77493-9504
Phone (832) 545-5658

Other identifiers 2

IdentifierTypeStateIssuer
8220NCOtherTXBCBS
2968828-02MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111128000782 TX Practitioner - Nurse Practitioner 7214101419 Reassigns benefits to 2 organizations
I20251121002226 FL Practitioner - Nurse Practitioner 7214101419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2675 Winkler Ave
Suite 200
Fort Myers, FL 33901-9328

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
716275TXMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Surainder K.Ajmani M.D.P.a CurrentSince Sep 25, 2011 Accepting new patients
Austin Geriatric Specialists, PLLC CurrentSince Sep 16, 2019 Accepting new patients
Millennium Physician Group LLC CurrentSince Oct 1, 2025 Accepting new patients
Millennium Physician Group LLC CurrentSince Oct 1, 2025 Accepting new patients
Welkin Health Services, Inc. Past Accepting new patients
Hni Medical Services PastSince Sep 16, 2019 Accepting new patients

Locations

11513 N Main St
Jacksonville, FL 32218
Phone (904) 751-6200

19531 Cochran Blvd
Pt Charlotte, FL 33948
Phone (941) 255-3535

1108 Lavaca St
Ste 110320
Austin, TX 78701
Phone (512) 482-0390

11406 Rustic Rock Dr
Austin, TX 78750
Phone (512) 251-3915

12121 Richmond Ave
Ste 409
Houston, TX 77082
Phone (281) 493-4922

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18292/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kim.nunez.1@25850.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/25850/brand/1/csg/1/fhir/r4

Organizations & group practices 6

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": "1316649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375833600000",
    "number": "1285917575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5110 EULE DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774939504",
            "telephone_number": "832-545-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5110 EULE DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774939504",
            "telephone_number": "832-545-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUNEZ",
        "first_name": "KIM",
        "middle_name": "G",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-22",
        "last_updated": "2013-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "TX",
            "license": "716275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8220NC",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2968828-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.