Nancy Leona Kimbrow, M. D.
Individual provider Active NPI Family Medicine Physician · Keene, TX
NPI 1295799880 · NPPES record last updated Feb 23, 2010
Key facts
- NPI
- 1295799880
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- G4148 (TX)
- Practice address
- 212 S Old Betsy Rd
Keene, TX 76059-2427 - Phone
- (817) 641-8141
- Fax
- (817) 558-2305
- NPI assigned
- Apr 12, 2006
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Loma Linda University School of Medicine, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
212 S Old Betsy Rd
Keene, TX 76059-2427
Phone (817) 641-8141
Hospital & facility affiliations
- Enhabit Home Health
- Texas Health Huguley Hospital Fort Worth South
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100316000102 | TX | Practitioner - Family Practice | 5991830044 | Practice locations: Keene, TX |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G4148 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Living Concepts, Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G4148 | TX | Yes |
Addresses
Primary practice location
212 S Old Betsy Rd
Keene, TX 76059-2427
Mailing address
212 S Old Betsy Rd
Keene, TX 76059-2427
Phone (817) 641-8141
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 092659401 | Medicaid | TX |
Other providers in Keene, TX
- Omelicth Gabriela Huizzi-Weidman
- Myrhawell Inocencio
- Keene Dental PLLC
- Keene Family Dental, PA
- Keene Isd
- Austin Kirby
- Louis M Caldwell Jr
- Susanne Lynn Maynard
- Shelley McFadin
- Daniel Eric Mertz
All providers in Keene, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.