Kimberly Dawn Belcik

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1127430 Issued in TX

Practice address

501 N Stone St
Caldwell, TX 77836-1134

Phone

(979) 567-8500

NPI assigned

Jun 29, 2023

Last updated

Jun 29, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Jlyle Medical Clinic PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Caldwell, TX
  • NPI 1669934774
  NPD

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

{
    "created_epoch": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1548947757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 N STONE ST",
            "city": "CALDWELL",
            "state": "TX",
            "postal_code": "778361134",
            "telephone_number": "979-567-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 N STONE ST",
            "city": "CALDWELL",
            "state": "TX",
            "postal_code": "778361134",
            "telephone_number": "979-567-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELCIK",
        "first_name": "KIMBERLY",
        "middle_name": "DAWN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-06-29",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1127430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• April Meredith Schank Arnold, COTA
• Aya Pharmacy LLC (Aya Pharmacy)
• Tracy Ayers, FNP
• Tiffany Baker
• Laura Lynn Beach, COTA/L
• Jamie Bird
• Sandra Blasig, RPH
• Jaa'Lah B Bowser
• Brazos Valley Community Action Agency, Inc. (HealthPoint)
• Brazos Valley Community Action Agency, Inc. (HealthPoint)

• Family Nurse Practitioner in Caldwell, TX
• Providers in Caldwell, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.