Individual provider Active NPI

Kymberly Rose Perez, FNP

  • Family Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1407502990
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1050455 Issued in TX
Practice address
13725 Northwest Blvd Ste a
Corpus Christi, TX 78410-5124
Phone
(361) 387-9413
Fax
(361) 387-9616
NPI assigned
Feb 23, 2022
Last updated
Oct 21, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1050455 TX Primary
Nurse Practitioner 363L00000X 802566 TX

Addresses

Primary practice location

13725 Northwest Blvd Ste a
Corpus Christi, TX 78410-5124

Mailing address

13725 Northwest Blvd Ste a
Corpus Christi, TX 78410-5124
Phone (361) 387-9413

Other practice location 1

5802 Saratoga Blvd
Corpus Christi, TX 78414-4252
Phone (361) 696-6200

Other practice location 2

5802 Saratoga Blvd Ste 200
Corpus Christi, TX 78414-4252
Phone (361) 696-6200

Other practice location 3

5802 Saratoga Blvd Ste 130
Corpus Christi, TX 78414-4252
Phone (361) 696-6203

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
I20220625000657 TX Practitioner - Nurse Practitioner 9335528058 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shea Physical Therapy Specialists LLCGroup PAC ID 6204245194, 194 clinicians
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians
Better Weigh Center PLLCGroup PAC ID 4183887151, 5 clinicians

Practice addresses (Care Compare)

5440 Everhart Rd
Suite 1
Corpus Christi, TX 78411-4838
Phone (361) 994-5224

5802 Saratoga Blvd
Suite 150
Corpus Christi, TX 78414-4254
Phone (361) 986-4600

5826 Esplanade Dr
Suite 102
Corpus Christi, TX 78414-4198
Phone (361) 500-2898

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

PO Box
Suite 846098
Dallas, TX 75284-6098

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
802566TXMDNurse Practitioner
1050455TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Dec 2, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Dec 2, 2024 Accepting new patients
Better Weigh Center PLLC CurrentSince Jan 26, 2026 Accepting new patients

Locations

5802 Saratoga Blvd
Ste 130
Corpus Christi, TX 78414
Phone (361) 696-6200

5802 Saratoga Blvd
Ste 200
Corpus Christi, TX 78414
Phone (361) 696-6043

5826 Esplanade Dr
Ste 102
Corpus Christi, TX 78414
Phone (361) 287-6040

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: kperez367719@christushealth.direct-ci.net

Organizations & group practices 4

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": "1645574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1407502990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13725 NORTHWEST BLVD STE A",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784105124",
            "telephone_number": "361-387-9413",
            "fax_number": "361-387-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13725 NORTHWEST BLVD STE A",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784105124",
            "telephone_number": "361-387-9413",
            "fax_number": "361-387-9616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5802 Saratoga Blvd",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784144252",
            "country_code": "US",
            "telephone_number": "361-696-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5802 Saratoga Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784144252",
            "country_code": "US",
            "telephone_number": "361-696-6200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5802 Saratoga Blvd Ste 130",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784144252",
            "country_code": "US",
            "telephone_number": "361-696-6203",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "KYMBERLY",
        "middle_name": "ROSE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-23",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1050455",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "802566",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.