Individual provider Active NPI

Kamala D Fields, F NP-C

  • Family Nurse Practitioner
  • Greenville, TX
National Provider Identifier
1558471995
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
604591 Issued in TX
Practice address
4501 Joe Ramsey Blvd
Suite 100
Greenville, TX 75402
Phone
(903) 408-5800
Fax
(903) 455-8232
NPI assigned
Aug 30, 2006
Last updated
Jun 30, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 604591 TX Primary

Addresses

Primary practice location

4501 Joe Ramsey Blvd
Suite 100
Greenville, TX 75402

Mailing address

PO Box 1359
Greenville, TX 75403-1359
Phone (903) 408-5800

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
I20061208000330 TX Practitioner - Nurse Practitioner 3678572286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gloria Rodarte Brun, M. D., P. a.Group PAC ID 4789743899, 2 clinicians

Practice addresses (Care Compare)

5604 Wesley St
Suite 101
Greenville, TX 75402-6326
Phone (903) 454-9404

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
604591TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Gloria Rodarte Brun, M. D., P. a. CurrentSince Nov 1, 2019 Accepting new patients

Locations

5604 Wesley St
Ste 101
Greenville, TX 75402
Phone (903) 454-9404

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": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1558471995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1359",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754031359",
            "telephone_number": "903-408-5800",
            "fax_number": "903-455-8232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 JOE RAMSEY BLVD",
            "address_2": "SUITE 100",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "75402",
            "telephone_number": "903-408-5800",
            "fax_number": "903-455-8232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIELDS",
        "first_name": "KAMALA",
        "middle_name": "D",
        "credential": "F NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "604591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

Verify at the official NPI Registry.