Individual provider Active NPI

Kimberly Marie Gray, NP

  • Nurse Practitioner
  • Floresville, TX
National Provider Identifier
1619633989
Registry record updated Jul 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1046983 Issued in TX
Practice address
559 10TH St
Floresville, TX 78114-3165
Phone
(830) 251-0777
NPI assigned
Nov 11, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1046983 TX Primary

Addresses

Primary practice location

559 10TH St
Floresville, TX 78114-3165

Mailing address

3235 Harvest CRST
Marion, TX 78124-1407
Phone (210) 439-9450

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
I20220614002561 TX Practitioner - Nurse Practitioner 0345629812 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fast Track Urgent CareGroup PAC ID 5799005070, 41 clinicians

Practice addresses (Care Compare)

204 N la Vernia St
Marion, TX 78124-1407

204 N Lavernia
Marion, TX 78124-2096
Phone (210) 439-9450

229 FM
Suite 306
New Braunfels, TX 78130-2557
Phone (210) 906-8478

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1046983TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Floresville Urgent Care Clinic CurrentSince Apr 15, 2022 Accepting new patients
Gray Healthcare LLC CurrentSince Dec 1, 2024 Accepting new patients
Fast Track Urgent Care - Bastrop Nurse Practitioner CurrentSince Dec 27, 2024 Accepting new patients
Fast Track Urgent Care - Dripping Springs Nurse Practitioner Current Accepting new patients
Fast Track Urgent Care Nurse Practitioner CurrentSince Dec 27, 2024 Accepting new patients
Fast Track Urgent Care - Lemon Creek Nurse Practitioner PastSince Feb 9, 2025 Accepting new patients

Locations

29252 Interstate 10 W
Ste 106
Boerne, TX 78006
Phone (210) 906-8478

136 Drifting Wind Run
Ste 117
Dripping Springs, TX 78620
Phone (210) 906-8478

559 10th St
Ste 1
Floresville, TX 78114
Phone (830) 251-0777

559 10th St
Floresville, TX 78114
Phone (210) 602-1277

229 FM 306
New Braunfels, TX 78130
Phone (210) 906-8478

17910 Bulverde Rd
Ste 115
San Antonio, TX 78259
Phone (210) 906-8478

3107 Tpc Pkwy
Ste 102
San Antonio, TX 78259
Phone (210) 240-4854

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752278400000",
    "number": "1619633989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3235 HARVEST CRST",
            "city": "MARION",
            "state": "TX",
            "postal_code": "781241407",
            "telephone_number": "210-439-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 10TH ST",
            "city": "FLORESVILLE",
            "state": "TX",
            "postal_code": "781143165",
            "telephone_number": "830-251-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAY",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-11",
        "last_updated": "2025-07-12",
        "certification_date": "2025-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1046983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Floresville, TX

Sources for this page

Verify at the official NPI Registry.