Active NPI
Kimberley Michelle Drum, MSN, RN, NNP-BC
- Neonatal Nurse Practitioner
- Dallas, TX
National Provider Identifier
1356303465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neonatal Nurse Practitioner
- License
- 648305
- Practice address
- 3500 Gaston Ave
Dallas, TX 75246-2017 - Phone
- (214) 820-4012
- NPI assigned
- Apr 4, 2006
- Last updated
- Nov 16, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neonatal Nurse Practitioner | 363LN0000X | 648305 | TX | Primary |
| Critical Care Neonatal Nurse Practitioner | 363LN0005X | 648305 | TX |
Addresses
Primary practice location
3500 Gaston Ave
Dallas, TX 75246-2017
Mailing address
3001 George Bush Hwy
Richardson, TX 75082-3542
Phone (972) 437-5099
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 648305 | TX | MD | Neonatal Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479254400000",
"number": "1356303465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3001 GEORGE BUSH HWY",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750823542",
"telephone_number": "972-437-5099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 GASTON AVE",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462017",
"telephone_number": "214-820-4012"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRUM",
"first_name": "KIMBERLEY",
"middle_name": "MICHELLE",
"name_prefix": "Mrs.",
"credential": "MSN, RN, NNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-04",
"last_updated": "2016-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "363LN0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal",
"state": "TX",
"license": "648305",
"primary": true
},
{
"code": "363LN0005X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Neonatal, Critical Care",
"state": "TX",
"license": "648305",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
- DRS Tschumy Herring Kaliser True Reardon Jones a Medical Association (Harvill Tschumy Clinic)
- DRS. Leiman and Simon, PA
- DRS. Porter and Sone & Associates, PA
- DRS. Rothschild & Somer, Associated
- DRS. Stukalin, P.a.
- Traci Lane Drum, FNP-C
- Shermelia Drummer, LPC, LCDC
- Malashia Drummond
- Shaina Marie Drummond, M.D.
- Waymon Drummond, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.