Kimberly Denese Chiles

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

1094369 Issued in TX

Practice address

36065 Santa Fe Ave
Fort Hood, TX 76544-5060

Phone

(254) 288-8109

NPI assigned

Mar 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1760515787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8910 VIEWPARK LN",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765426801",
            "telephone_number": "808-443-1572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36065 SANTA FE AVE",
            "city": "FORT HOOD",
            "state": "TX",
            "postal_code": "765445060",
            "telephone_number": "254-288-8109"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "174 Morishige Pl Unit 103",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968187228",
            "country_code": "US",
            "telephone_number": "808-557-8790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHILES",
        "first_name": "KIMBERLY",
        "middle_name": "DENESE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "HI",
            "license": "LPN15467",
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "1094369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Chervoni
• Amber Chiapuzio, DNP-CNM
• Jaymee Chick, PT, DPT
• Benjamin Randolph Childs, MD
• Jennifer Mira Chiles, DO
• Debreah Shawn Chism, LPC
• Jason E Christensen, DO
• Dori Yoshiko Chroust, LCSW
• Mark Richard Church, DMD, MS
• Jonathan D. Claassen, D.O.

• Women's Health Nurse Practitioner in Fort Hood, TX
• Providers in Fort Hood, TX by specialty
• Women's Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 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.