Individual provider Active NPI

Kimberly Ann Guajardo, APRN, FNP-C

  • Nurse Practitioner
  • Live Oak, TX
National Provider Identifier
1639704257
Registry record updated Aug 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP144558 Issued in TX
Practice address
12709 Toepperwein Rd Ste 101
Live Oak, TX 78233-3259
Phone
(210) 625-4733
Fax
(210) 625-4734
NPI assigned
Mar 4, 2020
Last updated
Aug 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2022

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 AP144558 TX Primary

Addresses

Primary practice location

12709 Toepperwein Rd Ste 101
Live Oak, TX 78233-3259

Mailing address

PO Box 4585, MSC#700
Houston, TX 77210-4585
Phone (210) 625-4733

Other practice location 1

1100 McCullough Ave
San Antonio, TX 78212-4813
Phone (210) 625-4733

Other practice location 2

12702 N Ih 35
Live Oak, TX 78233-2609
Phone (210) 625-4733

Other names 1

  • Kimberly Ann Ramos Other name

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
I20200629002036 TX Practitioner - Nurse Practitioner 6800218405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bsisa PLLCGroup PAC ID 0749601599, 7 clinicians

Practice addresses (Care Compare)

12709 Toepperwein Rd
Suite 101
Live Oak, TX 78233-3259
Phone (210) 625-4733

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bsisa PLLC CurrentSince Nov 1, 2020 Accepting new patients

Locations

813 S Milam St
Fredericksburg, TX 78624
Phone (830) 997-4043

12702 N Interstate 35
Live Oak, TX 78233
Phone (210) 650-9669

12709 Toepperwein Rd
Ste 101
Live Oak, TX 78233

2115 Stephens Pl
Ste 1400
New Braunfels, TX 78130
Phone (830) 715-0538

1100 McCullough Ave
San Antonio, TX 78212

1139 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 638-2000

5330 N Loop 1604 W
Ste 101
San Antonio, TX 78249

Interoperability endpoints

  • Direct secure messaging: 18749-ramos-kimberly@direct.leadingreach.com

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1583280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659916800000",
    "number": "1639704257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4585, MSC#700",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104585",
            "telephone_number": "210-625-4733",
            "fax_number": "210-625-4734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12709 TOEPPERWEIN RD STE 101",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333259",
            "telephone_number": "210-625-4733",
            "fax_number": "210-625-4734"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 McCullough Ave",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782124813",
            "country_code": "US",
            "telephone_number": "210-625-4733",
            "fax_number": "210-625-4734",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12702 N Ih 35",
            "address_purpose": "LOCATION",
            "city": "Live Oak",
            "state": "TX",
            "postal_code": "782332609",
            "country_code": "US",
            "telephone_number": "210-625-4733",
            "fax_number": "210-625-4734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUAJARDO",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-03-04",
        "last_updated": "2022-08-08",
        "certification_date": "2022-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP144558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "RAMOS",
            "middle_name": "ANN",
            "credential": "APRN, FNP-C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Live Oak, TX

Sources for this page

Verify at the official NPI Registry.