Kimberly Davong, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP127472 Issued in TX

Practice address

7406 W State Highway 66
Royse City, TX 75189-4166

Phone

(972) 460-4422

NPI assigned

Feb 24, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Purely Dental Group PLLC S-Corp

  • Dentist
  • Royse City, TX
  • NPI 1073940011
  NPD (past)

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

{
    "created_epoch": "1424736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1437541794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 I 30",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751506905",
            "telephone_number": "469-800-2800",
            "fax_number": "469-800-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7406 W STATE HIGHWAY 66",
            "city": "ROYSE CITY",
            "state": "TX",
            "postal_code": "751894166",
            "telephone_number": "972-460-4422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVONG",
        "first_name": "KIMBERLY",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-24",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crowell Inc
• CVS Pharmacy Inc
• Dallas Prime Health Care Inc
• Deborah Sue Davis, LMSW
• Andy Davong, D.D.S.
• Roger Earl Dawson
• Dci
• Laressa Elaine Dent
• Dental Family Circle - Royse City PLLC
• Dentist Tree PC

• Family Nurse Practitioner in Royse City, TX
• Providers in Royse City, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; 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.