Active NPI
Kimberly Kay Rathkamp, AGACNP-BC
- Acute Care Nurse Practitioner
- Victoria, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 1095101
- Practice address
- 506 E San Antonio St
Victoria, TX 77901-6060 - Phone
- (361) 652-8401
- Fax
- (361) 788-6655
- NPI assigned
- Sep 26, 2022
- Last updated
- Sep 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 1095101 | TX | Primary |
Addresses
Primary practice location
506 E San Antonio St
Victoria, TX 77901-6060
Mailing address
110 Laguna Dr
Victoria, TX 77904-3753
Phone (361) 652-8401
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1095101 | Other | TX | LICENSE NUMBER |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
506 E San Antonio St
De Tar Navarro Hospital
Victoria, TX 77901-6060
Phone (361) 575-7441
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1095101 | TX | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Victoria Hospitalist Associates, LLC | Current | Accepting new patients |
Locations
506 E San Antonio St
Victoria, TX 77901
Phone (361) 575-1445
Organizations & group practices 1
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.
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Victoria, TX
- NPI 1124052162
-
dba Cuero Regional Hospital
- Rural Acute Care Hospital
- Cuero, TX
- NPI 1437148020
-
dba Detar Healthcare System
- General Acute Care Hospital
- Victoria, TX
- NPI 1851343909
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664150400000",
"number": "1811610769",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 LAGUNA DR",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779043753",
"telephone_number": "361-652-8401",
"fax_number": "361-788-6655"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 E SAN ANTONIO ST",
"city": "VICTORIA",
"state": "TX",
"postal_code": "779016060",
"telephone_number": "361-652-8401",
"fax_number": "361-788-6655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RATHKAMP",
"first_name": "KIMBERLY",
"middle_name": "KAY",
"credential": "AGACNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-09-26",
"last_updated": "2022-09-26",
"certification_date": "2022-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "TX",
"license": "1095101",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "1095101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Victoria, TX
- Natalie Carol Ramirez, APRN, FNP-BC
- Betina Audra Ramos, MS CCC-SLP
- Diana Ramos, LVN
- Engilberto Javier Ramos III, M.D.
- Princess Chimezurum Raphael, MD
- Ray M Freeman DC PC (Freeman Chiropractic Clinic)
- Realistic Health Care Services Inc.
- Reclamation Counseling Center, PC
- Reclamation Counseling Center, PC
- Red River Family Clinic LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2022; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.