Active NPI
Kimberly McDaniel
- Registered Nurse
- Austin, TX
National Provider Identifier
1770064628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 858999
- Practice address
- 1345 Philomena St
Austin, TX 78723-3210 - Phone
- (512) 324-9999
- NPI assigned
- Aug 28, 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 858999 | TX | Primary |
Addresses
Primary practice location
1345 Philomena St
Austin, TX 78723-3210
Mailing address
165 Maravillas BND
Bastrop, TX 78602-2251
Phone (806) 577-0356
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 |
|---|---|---|---|
| 858999 | TX | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742688000000",
"number": "1770064628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 MARAVILLAS BND",
"city": "BASTROP",
"state": "TX",
"postal_code": "786022251",
"telephone_number": "806-577-0356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1345 PHILOMENA ST",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787233210",
"telephone_number": "512-324-9999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDANIEL",
"first_name": "KIMBERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-28",
"last_updated": "2025-03-23",
"certification_date": "2025-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "TX",
"license": "858999",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.