Kimberly Wills Coates M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

J1937 Issued in TX

Legal business name

KIMBERLY WILLS COATES M.D.

Practice address

511 Oakwood Blvd
Suite 200
Round Rock, TX 78681-4007

Phone

(512) 255-0769

NPI assigned

Feb 11, 2008

Organization subpart

No

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

Authorized official

Name

Gretchen M Reyna

Title

Billing Manager

Phone

(512) 326-4300

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kimberly Willis Coates, M.D.

  • Gynecology Physician
  • Round Rock, TX
  • NPI 1699838755
  NPD (past)

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

{
    "created_epoch": "1202688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202688000000",
    "number": "1740458876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 OAKWOOD BLVD",
            "address_2": "SUITE 200",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814007",
            "telephone_number": "512-255-0769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 OAKWOOD BLVD",
            "address_2": "SUITE 200",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814007",
            "telephone_number": "512-255-0769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIMBERLY WILLS COATES M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-11",
        "last_updated": "2008-02-11",
        "status": "A",
        "authorized_official_last_name": "REYNA",
        "authorized_official_first_name": "GRETCHEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "512-326-4300"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "J1937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "J1937",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS INDIVIDUAL",
            "identifier": "0064LP",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jiho Kim
• Michael Kim, MD
• Min Kim
• Sunmi Kim, COTA
• Kevin Kimbell, CPO
• John Kimbriel, BCBA
• Catherine Kinchen
• Kayla Ashley Kindla, OD
• Kindly Psychotherapy, PLLC
• Robyn S Kindseth, OT

• Specialist in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2008; 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.