Individual provider Active NPI

Kimberley Windisch, MSN, APRN

  • Nurse Practitioner
  • Reno, NV
National Provider Identifier
1467452938
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN000551 Issued in NV
Practice address
6512 S McCarran Blvd
Reno, NV 89509-6170
Phone
(775) 788-7600
NPI assigned
Jul 27, 2005
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 APRN000551 NV Primary

Addresses

Primary practice location

6512 S McCarran Blvd
Reno, NV 89509-6170

Mailing address

2706 Quail Cove Dr
Highland Village, TX 75077-3187
Phone (775) 772-7161

Other practice location 1

5566 Vista Terrace Ln
Sparks, NV 89436-7691
Phone (775) 772-7161

Other names 1

  • Mrs. Kimberley Morris Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20180117001534 TX Practitioner - Nurse Practitioner 5294902193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Group practices
Advanced Wound Care of North Texas PLLCGroup PAC ID 7315276599, 5 clinicians

Practice addresses (Care Compare)

13154 Coit Rd
Suite 102D
Dallas, TX 75240-5795
Phone (469) 726-2287

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN000551NVMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Wound Care of North Texas PLLC CurrentSince Aug 1, 2023 Accepting new patients

Locations

13154 Coit Rd
Ste 102D
Dallas, TX 75240
Phone (469) 726-2287

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1467452938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 QUAIL COVE DR",
            "city": "HIGHLAND VILLAGE",
            "state": "TX",
            "postal_code": "750773187",
            "telephone_number": "775-772-7161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6512 S MCCARRAN BLVD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096170",
            "telephone_number": "775-788-7600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5566 Vista Terrace Ln",
            "address_purpose": "LOCATION",
            "city": "Sparks",
            "state": "NV",
            "postal_code": "894367691",
            "country_code": "US",
            "telephone_number": "775-772-7161",
            "fax_number": "775-359-7114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WINDISCH",
        "first_name": "KIMBERLEY",
        "name_prefix": "Ms.",
        "credential": "MSN, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-27",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NV",
            "license": "APRN000551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLEY",
            "last_name": "MORRIS",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.