Individual provider Active NPI

Kimberly Madison, NURSE PRACTITIONER

  • Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1427753375
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP1028864 Issued in DC
Practice address
1341 W Mockingbird LN Ste 600W
Dallas, TX 75247-6904
Phone
(832) 856-3376
NPI assigned
Mar 31, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP1028864 DC Primary

Addresses

Primary practice location

1341 W Mockingbird LN Ste 600W
Dallas, TX 75247-6904

Mailing address

235 Whitsons Run
Stafford, VA 22554-1717

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20230927002610 DC Practitioner - Nurse Practitioner 3072967843 Reassigns benefits to 2 organizations
I20231016003378 VA Practitioner - Nurse Practitioner 3072967843 Reassigns benefits to 1 organization
I20241210000989 TX Practitioner - Nurse Practitioner 3072967843 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP1028864DCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Consonant Healing Associates of de LLC Nurse Practitioner CurrentSince Dec 4, 2024 Accepting new patients
Consonant Healing Medical Associates Nurse Practitioner CurrentSince Sep 1, 2023 Accepting new patients
Healing Partners Plus PLLC CurrentSince Jul 1, 2025 Accepting new patients

Locations

609 H St NE
Fl 4
Washington, DC 20002
Phone (202) 235-0935

8403 Colesville Rd
Ste 1100
Silver Spring, MD 20910
Phone (301) 905-7762

909 Ridgebrook Rd
Ste 300
Sparks Glencoe, MD 21152
Phone (443) 483-9300

12830 Hillcrest Rd
Ste 111
Dallas, TX 75230
Phone (972) 964-9087

4500 Mercantile Plaza Dr
Ste 300
Ft Worth, TX 76137
Phone (469) 688-9501

919 E Main St
Ste 1000
Richmond, VA 23219
Phone (804) 729-6904

3900 Westerre Pkwy
Ste 300
Richmond, VA 23233
Phone (301) 928-5012

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

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": "1680220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1427753375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 WHITSONS RUN",
            "city": "STAFFORD",
            "state": "VA",
            "postal_code": "225541717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 W MOCKINGBIRD LN STE 600W",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752476904",
            "telephone_number": "832-856-3376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADISON",
        "first_name": "KIMBERLY",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-03-31",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DC",
            "license": "NP1028864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.