Terri Diane Kimble

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

1056567 Issued in TX

Practice address

31223 Alice LN
Tomball, TX 77375-4057

Phone

(832) 444-3286

NPI assigned

Oct 8, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medella Urgent Care PLLCGroup PAC ID 9234417767, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: terri.kimble.1@15235.direct.athenahealth.com

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.

• Medella Urgent Care, PLLC

  • Urgent Care Clinic/Center
  • Houston, TX
  • NPI 1255785580
  Medicare reassignment Care Compare group NPD
• Tomagwa Ministries, Inc

  • Federally Qualified Health Center (FQHC)
  • Tomball, TX
  • NPI 1417543422
  NPD (past)

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1700548526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31223 ALICE LN",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754057",
            "telephone_number": "832-444-3286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31223 ALICE LN",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754057",
            "telephone_number": "832-444-3286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBLE",
        "first_name": "TERRI",
        "middle_name": "DIANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-08",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "TX",
            "license": "1056567",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "terrikimble@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "home",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "31223 Alice Ln",
            "city": "Tomball",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773754057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Carly Kim, R.D., L.D.
• Christopher Kim, MD
• Jin Kim, M.D.
• Su Jung Kim
• Lisa Paul Kimbell, MD
• Gabrielle Kindley
• Kinetic Massage Works
• Dominic King, FNP
• Maria Karen King, PT
• Seantia King

• General Practice Physician in Tomball, TX
• Providers in Tomball, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.