Individual provider Active NPI

Kimberly Diane Strickland, NP

  • Gerontology Nurse Practitioner
  • Irving, TX
National Provider Identifier
1477210599
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
1059243 Issued in TX
Practice address
2801 Gateway Dr Ste 100
Irving, TX 75063-2694
Phone
(844) 388-6541
Fax
(844) 452-8151
NPI assigned
Nov 23, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 1059243 TX Primary

Addresses

Primary practice location

2801 Gateway Dr Ste 100
Irving, TX 75063-2694

Mailing address

3801 Birdsong CT
Granbury, TX 76049-6258
Phone (254) 644-7573

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
I20220304000208 TX Practitioner - Nurse Practitioner 6204220486 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

San Antonio, TX 78257
Phone (210) 617-4706

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, P.a. CurrentSince Dec 1, 2024 Accepting new patients
Infinite Medical PC CurrentSince Jan 25, 2023 Accepting new patients
Wellmed Networks, Inc. CurrentSince May 1, 2023 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Feb 7, 2023 Accepting new patients
Wellmed Medical Group, PA CurrentSince Dec 1, 2024 Accepting new patients

Locations

250 Skillman St
Ste 202
Brooklyn, NY 11205

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

3301 View St
Ft Worth, TX 76103
Phone (817) 531-3616

1201 Colonel Dr
Garland, TX 75043
Phone (210) 602-1140

15015 Cypress Wood Medical Dr
Houston, TX 77014
Phone (281) 301-1149

2801 Gateway Dr
Ste 100
Irving, TX 75063
Phone (410) 356-5290

1419 Mahlmann St
Rosenberg, TX 77471
Phone (281) 342-0065

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

448 Castroville Rd
San Antonio, TX 78207
Phone (210) 434-1400

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

4330 Medical Dr
Ste 500
San Antonio, TX 78229
Phone (210) 558-0122

19500 Ih 10 W
#15030
San Antonio, TX 78257
Phone (210) 617-4607

19500 Ih 10 W
Bldg 1
San Antonio, TX 78257
Phone (726) 567-6300

411 Airport Rd
Sulphur Springs, TX 75482
Phone (903) 885-7668

424 Tarpey Rd
Texas City, TX 77591
Phone (409) 938-8431

8001 Western Hills Blvd
Wht Settlemt, TX 76108
Phone (817) 246-4953

Interoperability endpoints

  • Direct secure messaging: kimberly.strickland@wellmed.eclinicaldirectplus.com

Organizations & group practices 5

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": "1637625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1477210599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 BIRDSONG CT",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760496258",
            "telephone_number": "254-644-7573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 GATEWAY DR STE 100",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750632694",
            "telephone_number": "844-388-6541",
            "fax_number": "844-452-8151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRICKLAND",
        "first_name": "KIMBERLY",
        "middle_name": "DIANE",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-23",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "1059243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

Verify at the official NPI Registry.