Individual provider Active NPI

Kimberly Denise McGregor, APRN, FNP

  • Family Nurse Practitioner
  • Cedar Hill, TX
National Provider Identifier
1548007388
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1167726 Issued in TX
Practice address
2820 Plume CT
Cedar Hill, TX 75104-8260
Phone
(318) 469-2186
NPI assigned
Jul 10, 2024
Last updated
Jul 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 1167726 TX Primary

Addresses

Primary practice location

2820 Plume CT
Cedar Hill, TX 75104-8260

Mailing address

2820 Plume CT
Cedar Hill, TX 75104-8260
Phone (318) 469-2186

Other practice location 1

4710 Everhart Rd Ste 100
Corpus Christi, TX 78411-2750
Phone (361) 857-2273

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
I20250129002588 TX Practitioner - Nurse Practitioner 9133658560 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1167726TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthy Me Clinic PLLC Single Specialty CurrentSince Nov 1, 2025 Accepting new patients
Molina Care Connections, LLC. Single Specialty CurrentSince Feb 10, 2025 Accepting new patients
Corpus Care Single Specialty PastSince Oct 4, 2007 Accepting new patients

Locations

1660 Westridge Cir N
Irving, TX 75038
Phone (214) 467-9787

5605 N MacArthur Blvd
Ste 400
Irving, TX 75038
Phone (855) 322-4080

120 N Miller Rd
Ste 200
Mansfield, TX 76063
Phone (469) 935-6373

Organizations & group practices 3

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": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1548007388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 PLUME CT",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751048260",
            "telephone_number": "318-469-2186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 PLUME CT",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751048260",
            "telephone_number": "318-469-2186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4710 Everhart Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784112750",
            "country_code": "US",
            "telephone_number": "361-857-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGREGOR",
        "first_name": "KIMBERLY",
        "middle_name": "DENISE",
        "credential": "APRN, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1167726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hill, TX

Sources for this page

Verify at the official NPI Registry.