Individual provider Active NPI

Kimberly Nichole Scott, FNP

  • Family Nurse Practitioner
  • Weatherford, TX
National Provider Identifier
1336779941
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP144657 Issued in TX
Practice address
1508 Santa Fe Dr Ste 103
Weatherford, TX 76086-5859
Phone
(817) 242-5789
Fax
(888) 752-9156
NPI assigned
Jan 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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 AP144657 TX Primary

Addresses

Primary practice location

1508 Santa Fe Dr Ste 103
Weatherford, TX 76086-5859

Mailing address

201 Southview Dr
Hudson Oaks, TX 76087-8232
Phone (863) 528-5627

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210729001979 TX Practitioner - Nurse Practitioner 0547663403 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1105 Santa Fe Dr
Suite 101
Weatherford, TX 76086-5852
Phone (863) 528-5627

Hospital & facility affiliations

  • Angels Care Home Health Home health agency, Weatherford, TX, CCN 677099
  • Beyondfaith Homecare & Rehab of Ft Worth LLC Home health agency, Weatherford, TX, CCN 747521
  • Magnolia Home Health Home health agency, Granbury, TX, CCN 679172
  • Centerwell Home Health Home health agency, Plano, TX, CCN 678210
  • Centerwell Home Health Home health agency, Weatherford, TX, CCN 679523
  • Palo Pinto General Hospital Hospital, Mineral Wells, TX, CCN 450565
  • Medical City Weatherford Hospital, Weatherford, TX, CCN 450203

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vpa of Texas PLLC Current Accepting new patients
Healthy Haven Healthcare CurrentSince Dec 6, 2023 Accepting new patients
Vpa of Texas PLLC CurrentSince Aug 1, 2021 Accepting new patients
Vpa of Texas PLLC CurrentSince Aug 1, 2021 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Aug 1, 2021 Accepting new patients
HMV Diagnostics CurrentSince Aug 25, 2022 Accepting new patients

Locations

5304 Mile Stretch Dr
Holiday, FL 34690
Phone (727) 940-5908

9330 Lyndon B Johnson Fwy
Ste 900
Dallas, TX 75243
Phone (214) 417-9828

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

363 N Sam Houston Pkwy E
Ste 1100
Houston, TX 77060
Phone (281) 809-7214

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

1105 Santa Fe Dr
Ste 101
Weatherford, TX 76086
Phone (863) 528-5627

1508 Santa Fe Dr
Ste 103
Weatherford, TX 76086
Phone (817) 242-5789

1108 Santa Fe Dr
Ste 103
Weatherford, TX 76086

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1336779941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 SOUTHVIEW DR",
            "city": "HUDSON OAKS",
            "state": "TX",
            "postal_code": "760878232",
            "telephone_number": "863-528-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 SANTA FE DR STE 103",
            "city": "WEATHERFORD",
            "state": "TX",
            "postal_code": "760865859",
            "telephone_number": "817-242-5789",
            "fax_number": "888-752-9156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "KIMBERLY",
        "middle_name": "NICHOLE",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-22",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Weatherford, TX

Sources for this page

Verify at the official NPI Registry.