Individual provider Active NPI

Kimberly Lynn Caldwell, NRP-C

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1841036522
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1168121 Issued in TX
Practice address
10680 Jones Rd
Houston, TX 77065-5594
Phone
(281) 477-0417
NPI assigned
Jul 2, 2024
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1168121 TX Primary
Women's Health Nurse Practitioner 363LW0102X 1168121 TX

Addresses

Primary practice location

10680 Jones Rd
Houston, TX 77065-5594

Mailing address

4507 Bagley Garden CT
Katy, TX 77449-6758
Phone (281) 323-8947

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
I20240731001183 TX Practitioner - Nurse Practitioner 7214474964 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oanh Ngoc Bui DO PAGroup PAC ID 2567484959, 5 clinicians
Fairfield OB-GYN PLLCGroup PAC ID 3274845391, 5 clinicians

Practice addresses (Care Compare)

10680 Jones Rd
Suite 600
Houston, TX 77065-4295
Phone (281) 477-0417

27150 Hwy 290
Suite 500
Cypress, TX 77433-7225
Phone (832) 237-4200

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Oanh Ngoc Bui DO PA CurrentSince Jul 15, 2024 Accepting new patients
Fairfield OB-GYN PLLC CurrentSince Jul 15, 2024 Accepting new patients

Locations

27150 Highway 290
Ste 500
Cypress, TX 77433
Phone (281) 256-8573

27150 Highway 290
Cypress, TX 77433

10680 Jones Rd
Ste 600
Houston, TX 77065
Phone (281) 477-0417

Organizations & group practices 2

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": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1841036522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4507 BAGLEY GARDEN CT",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774496758",
            "telephone_number": "281-323-8947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10680 JONES RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770655594",
            "telephone_number": "281-477-0417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALDWELL",
        "first_name": "KIMBERLY",
        "middle_name": "LYNN",
        "credential": "NRP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-02",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1168121",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "TX",
            "license": "1168121",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.