Individual provider Active NPI

Kimberly Melissa Tyler, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Arlington, TX
National Provider Identifier
1659998029
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP143927 Issued in TX
Practice address
1001 W Arbrook Blvd Ste 161
Arlington, TX 76015-4222
Phone
(972) 661-2273
NPI assigned
Jul 1, 2020
Last updated
Aug 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP143927 TX Primary
Registered Nurse 163W00000X 770213 TX

Addresses

Primary practice location

1001 W Arbrook Blvd Ste 161
Arlington, TX 76015-4222

Mailing address

2204 Adams CT
Arlington, TX 76011-3201
Phone (682) 551-6522

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ktyler@medixinfusion.com Direct

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
I20200810000245 TX Practitioner - Nurse Practitioner 1658796578 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texacare Urgent Care PLLCGroup PAC ID 0941580120, 6 clinicians

Practice addresses (Care Compare)

3107 Greene Ave
Fort Worth, TX 76109-2319
Phone (817) 439-9539

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
770213TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
El Dorado Urgent Care, PLLC CurrentSince Jul 29, 2020 Accepting new patients
Synergy Emergency Consultants, PLLC CurrentSince Feb 10, 2022 Accepting new patients
Texacare Urgent Care, PLLC CurrentSince Aug 28, 2020 Accepting new patients
Woodbridge Physicians Staffing Group, PLLC CurrentSince Jul 29, 2020 Accepting new patients
Americare Medical Partners, PLLC Past Accepting new patients
Chisholm Trail Emergency Center PastSince Jul 29, 2020 Accepting new patients
Citimed, P.a. Past Accepting new patients

Locations

7214 Crawford Rd
Ste 100
Argyle, TX 76226
Phone (940) 293-2888

5500 Sycamore School Rd
Ste 100
Fort Worth, TX 76123
Phone (682) 707-9707

5500 Sycamore School Rd
Ste 150
Fort Worth, TX 76123
Phone (682) 707-9707

3107 Greene Ave
Ft Worth, TX 76109
Phone (817) 439-9539

405 State Highway 121 Byp
Ste A250
Lewisville, TX 75067
Phone (940) 784-3310

Organizations & group practices 7

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": "1593561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1659998029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 ADAMS CT",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760113201",
            "telephone_number": "682-551-6522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 W ARBROOK BLVD STE 161",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760154222",
            "telephone_number": "972-661-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYLER",
        "first_name": "KIMBERLY",
        "middle_name": "MELISSA",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-01",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143927",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "770213",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ktyler@medixinfusion.com",
            "affiliation": "N",
            "endpointDescription": "work email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1001 W Arbrook Blvd Ste 161",
            "city": "Arlington",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760154222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.