Kimberly Ann Kerksiek, PHD

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

201069 Issued in TX

Practice address

7606 University Ave
Suite B-3
Lubbock, TX 79423-2155

Phone

(806) 470-4506

NPI assigned

Sep 23, 2011

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

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

Practice roles

Locations

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.

• Texas Tech University Health Sciences Center Lubbock

  dba TTUHSC/Anatomical Pathology

  • Anatomic Pathology Physician
  • Lubbock, TX
  • NPI 1063461358
  Medicare reassignment NPD
• Texas Tech University Health Sciences Center Lubbock

  dba TTUHSC/ Neurology

  • Neurology Physician
  • Lubbock, TX
  • NPI 1518916808
  NPD

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316736000000",
    "number": "1780967943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3817 28TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794102505",
            "telephone_number": "806-470-4506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7606 UNIVERSITY AVE",
            "address_2": "SUITE B-3",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794232155",
            "telephone_number": "806-470-4506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERKSIEK",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-23",
        "last_updated": "2011-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "201069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cindy D Kennon, PTA
• Kelly P Kensing, M.D.
• Carol Kent, MED, LPC-S
• Abbe Kerby
• Allison Bradshaw Kerin, MS, RD, LD
• Lindsay Kerr, LPC
• Melinda Sue Kerr, M.ED, LPC
• Jennifer Elizabeth Kesey, FNP
• Kathryn Ketchersid, MS, CCC-SLP
• Kevin L Allison MD PA

• Marriage & Family Therapist in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Marriage & Family Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.