Individual provider Active NPI

Kimberly S. Peters, APRN, FNP-BC

  • Family Nurse Practitioner
  • Castle Hills, TX
National Provider Identifier
1306485164
Registry record updated Feb 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP143710 Issued in TX
Practice address
6915 West Ave
Castle Hills, TX 78213-1822
Phone
(210) 450-9100
Fax
(210) 450-6009
NPI assigned
Dec 27, 2019
Last updated
Feb 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP143710 TX Primary

Addresses

Primary practice location

6915 West Ave
Castle Hills, TX 78213-1822

Mailing address

6915 West Ave
Castle Hills, TX 78213-1822
Phone (210) 341-1487

Other identifiers 2

IdentifierTypeStateIssuer
430817302OtherTXCSHCN
430817301MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Health Science Center at San Antonio CurrentSince Nov 1, 2021 Accepting new patients
Robert G. Szewc, M.D., P.a. CurrentSince Dec 23, 2019 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Nov 1, 2021 Accepting new patients
Tuscany Heart & Specialty Surgical Center LLC CurrentSince May 1, 2022 Accepting new patients
University of Texas Health Science Center at San Antonio Current Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Feb 7, 2023 Accepting new patients
Minuteclinic Telehealth Services of Texas Association Family CurrentSince Feb 16, 2023 Accepting new patients
Jawad Zar Shaikh MD PA Past Accepting new patients
BHS Physicians Network, Inc Past Accepting new patients
SNG - Barlite San Saba Dialysis Centers LP PastSince Dec 1, 2019 Accepting new patients

Locations

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

5526 S Congress Ave
Austin, TX 78745
Phone (512) 310-3190

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

1855 Gattis School Rd
Round Rock, TX 78664
Phone (512) 238-6268

343 W Houston St
Ste 1005
San Antonio, TX 78205
Phone (210) 224-1971

6830 Heuermann Rd
San Antonio, TX 78256
Phone (210) 272-0098

6915 West Ave
San Antonio, TX 78213
Phone (210) 341-1487

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

8300 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-9300

8300 Floyd Curl Dr
Fl 1
San Antonio, TX 78229
Phone (210) 450-9020

915 S Laredo St
San Antonio, TX 78204
Phone (210) 798-1955

915 S Laredo St
#200
San Antonio, TX 78204
Phone (210) 798-1965

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1577404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1306485164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6915 WEST AVE",
            "city": "CASTLE HILLS",
            "state": "TX",
            "postal_code": "782131822",
            "telephone_number": "210-341-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6915 WEST AVE",
            "city": "CASTLE HILLS",
            "state": "TX",
            "postal_code": "782131822",
            "telephone_number": "210-450-9100",
            "fax_number": "210-450-6009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "KIMBERLY",
        "middle_name": "S.",
        "credential": "APRN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-27",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSHCN",
            "identifier": "430817302",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "430817301",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Hills, TX

Sources for this page

Verify at the official NPI Registry.