Elizabeth Wanjeri Kimani

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1215973 Issued in TX

Practice address

4125 Fairway Dr Ste 190
Carrollton, TX 75010-6506

Phone

(469) 431-0486

NPI assigned

Oct 17, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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

Specialty

Nurse Practitioner

Education

Other, 2025

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Stella Mattina Primary Care Inc

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1396568713
  Medicare reassignment NPD
• Stella Mattina Health Inc

  • Obstetrics & Gynecology Physician
  • Dallas, TX
  • NPI 1487301230
  NPD (past)

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

{
    "created_epoch": "1760659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772323200000",
    "number": "1639046485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 FAIRWAY DR STE 190",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 FAIRWAY DR STE 190",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750106506",
            "telephone_number": "469-431-0486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMANI",
        "first_name": "ELIZABETH",
        "middle_name": "WANJERI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-17",
        "last_updated": "2026-03-01",
        "certification_date": "2026-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1215973",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "785361",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lydia Yu Kim, M.S., LAT, ATC
• Rachel Nury Kim, DR
• Seon Yeong Kim
• Stephen Kim, LPC
• Tae Kim, DMD
• Jordan Kimmey, DPT
• Bryce Richard Kindley, D.C.
• Dakindria King
• Keyara Lakaylan King
• Madison Shariee King

• Family Nurse Practitioner in Carrollton, TX
• Providers in Carrollton, 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 Mar 1, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.