Individual provider Active NPI

Kimberly M Stewart, FNP-BC

  • Family Nurse Practitioner
  • Austin, TX
National Provider Identifier
1447980875
Registry record updated Jul 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1206413 Issued in TX
Practice address
3500 W Slaughter LN
Austin, TX 78749-4421
Phone
(866) 389-2727
NPI assigned
Jun 17, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 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 11020161 FL
Family Nurse Practitioner 363LF0000X 1206413 TX Primary

Addresses

Primary practice location

3500 W Slaughter LN
Austin, TX 78749-4421

Mailing address

8001 E William Cannon Dr Apt 4102
Austin, TX 78744-8328
Phone (321) 615-7780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20220912003279 FL Practitioner - Nurse Practitioner 5597140533 Reassigns benefits to 1 organization
I20250903000949 TX Practitioner - Nurse Practitioner 5597140533 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minuteclinic Diagnostic of Texas PLLCGroup PAC ID 7416039177, 253 clinicians

Practice addresses (Care Compare)

3500 W Slaughter LN
Austin, TX 78749-4421
Phone (866) 389-2727

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11020161FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Minuteclinic LLC Family CurrentSince Aug 17, 2022 Accepting new patients
Minuteclinic Telehealth Services of Texas Association Family CurrentSince Aug 6, 2025 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC CurrentSince Aug 6, 2025 Accepting new patients
Minuteclinic Diagnostic of Texas PLLC Family CurrentSince Aug 6, 2025 Accepting new patients

Locations

11241 Miromar Square Blvd
Estero, FL 33928
Phone (239) 304-8172

121 W Macclenny Ave
Macclenny, FL 32063
Phone (904) 259-6380

12401 Miramar Pkwy
Miramar, FL 33027
Phone (954) 538-8473

8765 S Dixie Hwy
Pinecrest, FL 33156
Phone (305) 740-6840

7599 W Sand Lake Rd
Sand Lake, FL 32819
Phone (407) 352-0943

1 Cvs Dr
#3040
Woonsocket, RI 02895

1540 E Main St
Allen, TX 75002
Phone (214) 383-9765

3500 W Slaughter Ln
Austin, TX 78749
Phone (512) 292-6832

5526 S Congress Ave
Austin, TX 78745
Phone (512) 462-3820

601 N Industrial Blvd
Bedford, TX 76021
Phone (817) 283-0161

3103 Fry Rd
Katy, TX 77449
Phone (281) 646-2964

1413 Oates Dr
Mesquite, TX 75150
Phone (972) 613-7001

9522 Broadway St
Pearland, TX 77584
Phone (713) 436-8151

1855 Gattis School Rd
Round Rock, TX 78664
Phone (512) 238-6268

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753142400000",
    "number": "1447980875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8001 E WILLIAM CANNON DR APT 4102",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787448328",
            "telephone_number": "321-615-7780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 W SLAUGHTER LN",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787494421",
            "telephone_number": "866-389-2727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEWART",
        "first_name": "KIMBERLY",
        "middle_name": "M",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-17",
        "last_updated": "2025-07-22",
        "certification_date": "2025-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11020161",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1206413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.