Misty Dale Kimbrell, DNP, RN, ACNP-BC

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

AP125472 Issued in TX

Practice address

6316 Northport Dr
Dallas, TX 75230-4020

Phone

(404) 610-0820

NPI assigned

Sep 7, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1441584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441584000000",
    "number": "1356719405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6316 NORTHPORT DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752304020",
            "telephone_number": "404-610-0820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6316 NORTHPORT DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752304020",
            "telephone_number": "404-610-0820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBRELL",
        "first_name": "MISTY",
        "middle_name": "DALE",
        "credential": "DNP, RN, ACNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-09-07",
        "last_updated": "2015-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP125472",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN151111",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly D Johnson, DO, PA (Housecall Doctors)
• Kimberly Mezera MD PLLC
• Nkiruka Helen Kimble, APRN, PMHNP-BC
• Hillary Kimbley, PH.D.
• Michael Thomas Kimbrell, MD
• Charles William Kimbrough, MD
• Marquisha Kimbrough, B.S.
• Samantha Newton Kimbrough, MSN, APRN, A-GNP-C
• Nyamizi Ruth Kimisha, LVN
• Kimodale Inc (Hunts Pharmacy)

• Acute Care Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Acute Care Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.