Active NPI
Kelli Rochelle Kimbro, LVN
- Licensed Vocational Nurse
- Wichita Falls, TX
National Provider Identifier
1750881348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 176820
- Practice address
- 1717 Midwestern Pkwy Apt 111
Wichita Falls, TX 76302-1937 - Phone
- (940) 217-4251
- NPI assigned
- Feb 20, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 176820 | TX | Primary |
Addresses
Primary practice location
1717 Midwestern Pkwy Apt 111
Wichita Falls, TX 76302-1937
Mailing address
1717 Midwestern Pkwy Apt 111
Wichita Falls, TX 76302-1937
Phone (940) 217-4251
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
| License | State | Type | Specialty |
|---|---|---|---|
| 176820 | TX | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519084800000",
"number": "1750881348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1717 MIDWESTERN PKWY APT 111",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763021937",
"telephone_number": "940-217-4251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1717 MIDWESTERN PKWY APT 111",
"city": "WICHITA FALLS",
"state": "TX",
"postal_code": "763021937",
"telephone_number": "940-217-4251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIMBRO",
"first_name": "KELLI",
"middle_name": "ROCHELLE",
"name_prefix": "Ms.",
"credential": "LVN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-02-20",
"last_updated": "2018-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "TX",
"license": "176820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wichita Falls, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.