Individual provider Active NPI

Kimberly Allgood, NP-C

  • Family Nurse Practitioner
  • Wichita Falls, TX
National Provider Identifier
1790335859
Registry record updated Apr 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP143117 Issued in TX
Practice address
200 Martin Luther King Blvd
Wichita Falls, TX 76301-1152
Phone
(940) 782-1315
NPI assigned
Sep 19, 2019
Last updated
Apr 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP143117 TX Primary

Addresses

Primary practice location

200 Martin Luther King Blvd
Wichita Falls, TX 76301-1152

Mailing address

118 Milo St
Wichita Falls, TX 76305-2129

Other practice location 1

901 Indiana Ave Ste 540
Wichita Falls, TX 76301-6734
Phone (940) 249-5253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191028002789 TX Practitioner - Nurse Practitioner 6204168099 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
North Central Texas Community Health Care Center, Inc Current Accepting new patients
Little Black Bag House Calls LLC CurrentSince Sep 30, 2019 Accepting new patients
North Central Texas Community Health Care Center, Inc CurrentSince Apr 6, 2020 Accepting new patients

Locations

1000 Juarez St
Bldg A
Wichita Falls, TX 76301

200 Mlk Jr Blvd
Wichita Falls, TX 76301
Phone (940) 397-2609

901 Indiana Ave
Ste 540
Wichita Falls, TX 76301
Phone (940) 249-5253

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1568851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587513600000",
    "number": "1790335859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 MILO ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763052129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MARTIN LUTHER KING BLVD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763011152",
            "telephone_number": "940-782-1315"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Indiana Ave Ste 540",
            "address_purpose": "LOCATION",
            "city": "Wichita Falls",
            "state": "TX",
            "postal_code": "763016734",
            "country_code": "US",
            "telephone_number": "940-249-5253",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLGOOD",
        "first_name": "KIMBERLY",
        "name_prefix": "Mrs.",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-19",
        "last_updated": "2020-04-22",
        "certification_date": "2020-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita Falls, TX

Sources for this page

Verify at the official NPI Registry.