Kimberly Jean Poritz, FNP BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

507150 Issued in TX

Practice address

2138 N Josey LN
Suite 102
Carrollton, TX 75006-3034

Phone

(214) 350-9334

NPI assigned

Jan 4, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1428537600000",
    "number": "1295882215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2138 N JOSEY LN",
            "address_2": "SUITE 102",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750063034",
            "telephone_number": "214-350-9334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2138 N JOSEY LN",
            "address_2": "SUITE 102",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750063034",
            "telephone_number": "214-350-9334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORITZ",
        "first_name": "KIMBERLY",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "credential": "FNP BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-04",
        "last_updated": "2015-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "507150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPI",
            "identifier": "148392701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.