Active NPI
Jennifer Johnson Kitkowski, APRN
- Family Nurse Practitioner
- Allen, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1038661
- Practice address
- 865 Junction Dr
Allen, TX 75013-5006 - Phone
- (214) 547-8300
- Fax
- (214) 547-9787
- NPI assigned
- Oct 4, 2019
- Last updated
- Oct 13, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1038661 | TX | Primary |
| Family Nurse Practitioner | 363LF0000X | 26614 | TN |
Addresses
Primary practice location
865 Junction Dr
Allen, TX 75013-5006
Mailing address
865 Junction Dr
Allen, TX 75013-5006
Phone (214) 547-8300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5236 W University Dr
Suite 1000
McKinney, TX 75071-8106
Phone (972) 923-2600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26614 | TN | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Oncology PA | Current | Accepting new patients | |
| The Little Clinic of Tennessee LLC | Family | Current | Accepting new patients |
| Texas Oncology PA | Current | Accepting new patients | |
| Texas Oncology PA | Current | Accepting new patients |
Locations
2449 Old Fort Pkwy
Murfreesboro, TN 37128
Phone (615) 225-0140
7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313
2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500
5236 W University Dr
Ste 1000
McKinney, TX 75071
Phone (972) 542-8609
Interoperability endpoints
- jennifer.kitkowski@txo.ikm.direct-ci.com
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.
-
- Medical Oncology Physician
- El Paso, TX
- NPI 1811944101
-
- Family Nurse Practitioner
- White House, TN
- NPI 1487848800
-
- Medical Oncology Physician
- Fort Worth, TX
- NPI 1033386578
-
- Medical Oncology Physician
- Pearland, TX
- NPI 1912174350
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baylor Scott & White Medical Center - McKinney
- General Acute Care Hospital
- McKinney, TX
- NPI 1124305065
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1570147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634083200000",
"number": "1417598905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "865 JUNCTION DR",
"city": "ALLEN",
"state": "TX",
"postal_code": "750135006",
"telephone_number": "214-547-8300",
"fax_number": "214-547-9787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "865 JUNCTION DR",
"city": "ALLEN",
"state": "TX",
"postal_code": "750135006",
"telephone_number": "214-547-8300",
"fax_number": "214-547-9787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KITKOWSKI",
"first_name": "JENNIFER",
"middle_name": "JOHNSON",
"name_prefix": "Mrs.",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-10-04",
"last_updated": "2021-10-13",
"certification_date": "2021-10-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1038661",
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TN",
"license": "26614",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Allen, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.