Individual provider Active NPI

Kimberly Jean Schmidt, FNP-C

  • Family Nurse Practitioner
  • Allen, TX
National Provider Identifier
1598495236
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
904983 Issued in TX
Practice address
945 Stockton Dr Unit 6100
Allen, TX 75013-6158
Phone
(972) 390-7667
NPI assigned
Jun 15, 2022
Last updated
Aug 19, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 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 Practitioner 363LF0000X 904983 TX Primary

Addresses

Primary practice location

945 Stockton Dr Unit 6100
Allen, TX 75013-6158

Mailing address

945 Stockton Dr Unit 6100
Allen, TX 75013-6158
Phone (972) 390-7667

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
I20220718003816 TX Practitioner - Nurse Practitioner 5698156917 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
904983TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rescuemd PLLC CurrentSince Aug 1, 2024 Accepting new patients
Rajan S Kohli MD PA CurrentSince Jun 29, 2022 Accepting new patients

Locations

9330 Poppy Dr
Ste 308
Dallas, TX 75218
Phone (214) 810-4331

9330 Poppy Dr
Ste 503
Dallas, TX 75218
Phone (214) 321-3394

Organizations & group practices 2

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": "1655251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1598495236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 STOCKTON DR UNIT 6100",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136158",
            "telephone_number": "972-390-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 STOCKTON DR UNIT 6100",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136158",
            "telephone_number": "972-390-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "KIMBERLY",
        "middle_name": "JEAN",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-15",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "904983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

Verify at the official NPI Registry.