Individual provider Active NPI

Kimberly Dawn Toliver

  • Prosthetics Case Management
  • Temple, TX
National Provider Identifier
1679299317
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetics Case ManagementTaxonomy code 1744P3200X
License
1107770 Issued in TX
Practice address
4501 General Bruce Dr Suite 88
Room#9
Temple, TX 76501
Phone
(254) 624-1892
NPI assigned
Oct 14, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetics Case Management 1744P3200X 1107770 TX Primary

Addresses

Primary practice location

4501 General Bruce Dr Suite 88
Room#9
Temple, TX 76501

Mailing address

601 S Knob St
Temple, TX 76501-6057
Phone (254) 624-1892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1107770TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Inspirational Styles Hair Salon CurrentSince Oct 16, 2022 Accepting new patients

Locations

4501 S General Bruce Dr
Ste 88
Temple, TX 76502
Phone (254) 624-1892

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1665705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1679299317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S KNOB ST",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "765016057",
            "telephone_number": "254-624-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 GENERAL BRUCE DR SUITE 88",
            "address_2": "ROOM#9",
            "city": "TEMPLE",
            "state": "TX",
            "postal_code": "76501",
            "telephone_number": "254-624-1892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLIVER",
        "first_name": "KIMBERLY",
        "middle_name": "DAWN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-14",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "TX",
            "license": "1107770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.