Individual provider Active NPI

Keith Allen Kirbow, APRN, FNP-C, PMHNP-C

  • Family Nurse Practitioner
  • Longview, TX
National Provider Identifier
1376189308
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP144151 Issued in TX
Practice address
1300 N 6TH St
Longview, TX 75601-5567
Phone
(903) 921-1813
NPI assigned
Nov 25, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP144151 TX
Family Nurse Practitioner 363LF0000X AP144151 TX Primary

Addresses

Primary practice location

1300 N 6TH St
Longview, TX 75601-5567

Mailing address

887 Hack Berry Rd
Gilmer, TX 75644-8432
Phone (903) 806-1060

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Longview

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
I20200127001205 TX Practitioner - Nurse Practitioner 3072881200 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Medical PCGroup PAC ID 6608262464, 274 clinicians

Practice addresses (Care Compare)

Austin, TX 78731
Phone (415) 360-3348

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Core Health Systems Family CurrentSince May 25, 2023 Accepting new patients
Core Health Systems Family CurrentSince Mar 7, 2023 Accepting new patients
Brightside Medical, P.C. CurrentSince Jan 30, 2023 Accepting new patients
New Genesis Vitality, PLLC Current Accepting new patients
Core Health Systems Family CurrentSince May 24, 2023 Accepting new patients
Sabine Valley Regional MHMR Center Family CurrentSince Jan 1, 2020 Accepting new patients
Core Health Systems Family CurrentSince May 24, 2023 Accepting new patients
Core Health Systems Family CurrentSince May 24, 2023 Accepting new patients
Sabine Valley Regional MHMR Center Family Current Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

3571 Far West Blvd
Austin, TX 78731
Phone (512) 567-4737

106 N Martin Luther King Dr
#B
Clarksville, TX 75426
Phone (903) 427-2226

106 N Mlk Dr
Clarksville, TX 75426
Phone (903) 424-2226

101 E Madison St
Gilmer, TX 75644
Phone (903) 843-5518

1300 N 6th St
#A
Longview, TX 75601
Phone (903) 232-8928

1300 N 6th St
Longview, TX 75601
Phone (903) 232-8928

107 Woodbine Pl
Longview, TX 75601
Phone (903) 234-4226

2435 College Dr
Texarkana, TX 75501
Phone (903) 255-1240

1911 Galleria Oaks Dr
Texarkana, TX 75503
Phone (903) 792-0212

Interoperability endpoints

  • Direct secure messaging: keith.kirbow.p1@direct.communityhealthcore.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1376189308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "887 HACK BERRY RD",
            "city": "GILMER",
            "state": "TX",
            "postal_code": "756448432",
            "telephone_number": "903-806-1060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N 6TH ST",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756015567",
            "telephone_number": "903-921-1813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRBOW",
        "first_name": "KEITH",
        "middle_name": "ALLEN",
        "credential": "APRN, FNP-C, PMHNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-11-25",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP144151",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP144151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Longview",
            "affiliation": "N",
            "address_1": "1300 N 6th St",
            "city": "Longview",
            "state": "TX",
            "country_code": "US",
            "postal_code": "756015567",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Longview, TX

Sources for this page

Verify at the official NPI Registry.