Individual provider Active NPI

Kimberly Lawson-Kimberly

  • Adult Day Care Clinic/Center
  • Richmond, TX
National Provider Identifier
1518793207
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
312004 Issued in TX
Practice address
610 S 11TH St
Richmond, TX 77469-3307
Phone
(832) 757-4891
NPI assigned
Sep 10, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 312004 TX Primary

Addresses

Primary practice location

610 S 11TH St
Richmond, TX 77469-3307

Mailing address

610 S 11TH St
Richmond, TX 77469-3307
Phone (832) 757-4891

Other identifiers 1

IdentifierTypeStateIssuer
20235910MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
312004TXMDAdult Day Care Clinic/Center

Practice roles

OrganizationSpecialtyStatusNew patients
Care II Assist You Adult Day Care CurrentSince Sep 23, 2024 Accepting new patients

Locations

610 S 11th St
Richmond, TX 77469
Phone (832) 757-4891

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": "1725926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1518793207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 S 11TH ST",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774693307",
            "telephone_number": "832-757-4891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 S 11TH ST",
            "city": "RICHMOND",
            "state": "TX",
            "postal_code": "774693307",
            "telephone_number": "832-757-4891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAWSON-KIMBERLY",
        "first_name": "KIMBERLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-10",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "TX",
            "license": "312004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20235910",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; 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.