Kimberly Moody McCall

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

128484 Issued in TX

Practice address

120 Bert Brown St
San Marcos, TX 78666-5803

Phone

(512) 396-8500

Fax

(512) 754-3896

NPI assigned

Feb 6, 2018

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

Other names 1

• Kimberly McCall Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517875200000",
    "number": "1447759352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8419 MAPLE RIDGE DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782394035",
            "telephone_number": "210-928-7280",
            "fax_number": "512-754-3896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BERT BROWN ST",
            "city": "SAN MARCOS",
            "state": "TX",
            "postal_code": "786665803",
            "telephone_number": "512-396-8500",
            "fax_number": "512-754-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY MCCALL",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-06",
        "last_updated": "2018-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "128484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "MCCALL",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Adriana Elena Miranda, CPHT
• Seyed Afshan Miri, D.D.S.
• Larry Duane Molenda, DDS
• Alexis Monique Molina, OTR/L
• Michele Monserrate, LSSP, LPA
• Moon River Counseling TX PLLC
• Grace Stephanie Moon, LPC
• Gregory Keith Moore, MD
• Jane Alden Moore, OTR
• Justin Moore

• Psychiatric/Mental Health Nurse Practitioner in San Marcos, TX
• Providers in San Marcos, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2018; 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.