Individual provider Active NPI

Kimberly Ann Hawkins, RN,MSN,FNP

  • Family Nurse Practitioner
  • Monroe, LA
National Provider Identifier
1639179872
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP04762 Issued in LA
Practice address
920 Oliver Rd Ste J
Monroe, LA 71201-5702
Phone
(318) 807-3700
Fax
(318) 807-0014
NPI assigned
Jul 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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 AP04762 LA Primary

Addresses

Primary practice location

920 Oliver Rd Ste J
Monroe, LA 71201-5702

Mailing address

130 Desiard St Ste 355
Monroe, LA 71201-7363
Phone (318) 807-7875

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050921000015 LA Practitioner - Nurse Practitioner 8527092444 Reassigns benefits to 2 organizations
I20220728003386 TX Practitioner - Nurse Practitioner 8527092444 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Hulin Urgent Care Services LLC CurrentSince Mar 8, 2021 Accepting new patients
Hulin Urgent Care Services LLC CurrentSince Mar 8, 2021 Accepting new patients
Affinity Health Group, LLC CurrentSince Jun 18, 2012 Accepting new patients
Affinity Health Group, LLC CurrentSince Jun 18, 2012 Accepting new patients
Healthtexas Provider Network CurrentSince Aug 1, 2022 Accepting new patients
Affinity Health Group, LLC CurrentSince Jan 19, 2020 Accepting new patients
Healthtexas Provider Network Current Accepting new patients
Healthtexas Provider Network CurrentSince Aug 1, 2022 Accepting new patients
Quick Care of Ruston, L.L.C. Past Accepting new patients
Ahs Walk in Clinic Inc Past Accepting new patients
Quick Care of Monroe, LLC Past Accepting new patients

Locations

600 Jefferson St
Ste 600
Lafayette, LA 70501
Phone (337) 202-0720

920 Oliver Rd
Ste J
Monroe, LA 71201
Phone (318) 807-3700

920 Oliver Rd
Monroe, LA 71201
Phone (318) 807-6267

130 Desiard St
Ste 355
Monroe, LA 71201
Phone (318) 807-7875

2408 Broadmoor Blvd
Ste 2
Monroe, LA 71201
Phone (318) 807-0525

1110 E Saint Peter St
New Iberia, LA 70560
Phone (337) 364-1166

102 Thomas Rd
Ste 506
West Monroe, LA 71291
Phone (318) 388-6983

301 N Washington Ave
Dallas, TX 75246
Phone (469) 800-8330

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Interoperability endpoints

  • Direct secure messaging: khawkins1101019@direct.sw.org

Organizations & group practices 11

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": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1639179872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 DESIARD ST STE 355",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712017363",
            "telephone_number": "318-807-7875",
            "fax_number": "318-812-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 OLIVER RD STE J",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015702",
            "telephone_number": "318-807-3700",
            "fax_number": "318-807-0014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "RN,MSN,FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-29",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "AP04762",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.