Individual provider Active NPI

Carolyn L Kilgore, APRN, FNP-C

  • Nurse Practitioner
  • Spring, TX
National Provider Identifier
1487246062
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1069126 Issued in TX
Practice address
1104 Rayford Rd
Spring, TX 77386-5091
Phone
(281) 825-3265
Fax
(281) 825-3264
NPI assigned
Feb 5, 2021
Last updated
Apr 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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 1069126 TX Primary

Addresses

Primary practice location

1104 Rayford Rd
Spring, TX 77386-5091

Mailing address

4099 Grasmere Run
Mason, OH 45040-7278
Phone (513) 601-7652

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
I20220526001393 TX Practitioner - Nurse Practitioner 3678988375 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1240 E Palm Valley Blvd
Round Rock, TX 78664-3202
Phone (512) 733-9100

15320 Hwy 105 W
Suite 120
Montgomery, TX 77356-2602
Phone (936) 582-5660

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ucp Physicians of Central Texas, PLLC CurrentSince Feb 22, 2024 Accepting new patients
Urgent Health Solutions, PLLC CurrentSince Jan 27, 2024 Accepting new patients
QV Urgent Care TX PLLC CurrentSince May 18, 2022 Accepting new patients
QV Urgent Care TX PLLC CurrentSince May 18, 2022 Accepting new patients
Ucp Physicians of Central Texas, PLLC CurrentSince Feb 22, 2024 Accepting new patients

Locations

6001 W William Cannon Dr
Ste 302
Austin, TX 78749
Phone (512) 288-3627

1600 US Highway 79 S
Henderson, TX 75654
Phone (903) 657-9571

1331 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-5330

2132 S 1st St
Lufkin, TX 75901
Phone (936) 634-3627

1240 E Palm Valley Blvd
Round Rock, TX 78664
Phone (512) 733-9100

Interoperability endpoints

  • Direct secure messaging: caroline.kilgorefnp.p6@direct.nextcare.nextgenshare.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, 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": "1612483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1487246062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4099 GRASMERE RUN",
            "city": "MASON",
            "state": "OH",
            "postal_code": "450407278",
            "telephone_number": "513-601-7652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 RAYFORD RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773865091",
            "telephone_number": "281-825-3265",
            "fax_number": "281-825-3264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILGORE",
        "first_name": "CAROLYN",
        "middle_name": "L",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-05",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1069126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.