Samantha Newton Kimbrough, MSN, APRN, A-GNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1056745 Issued in TX

Practice address

5939 Harry Hines Boulevard
Professional Office Building 2, 7TH Floor, Suite 700
Dallas, TX 75390-9258

Phone

(214) 645-1919

Fax

(214) 645-1903

NPI assigned

Nov 7, 2022

Sex

Female

Sole proprietor

No

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: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

University of Texas Southwestern Medical Center at DallasGroup PAC ID 0648188250, 3,156 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

82.87 of 100Reported as group

Quality

70.15

Promoting interoperability

100

Improvement activities

40

Cost

72.75

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

State licenses

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.

• University of Texas Southwestern Medical Center at Dallas

  • Anesthesiology Physician
  • Dallas, TX
  • NPI 1942270566
  Medicare reassignment Care Compare group NPD
• The University of Texas Southwestern Medical Center at Dallas

  • Clinical Medical Laboratory
  • Dallas, TX
  • NPI 1396832713
  NPD
• University of Texas Southwestern Medical Center at Dallas

  • Vascular Surgery Physician
  • Dallas, TX
  • NPI 1134173966
  NPD

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1861100182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5939 HARRY HINES BOULEVARD",
            "address_2": "PROFESSIONAL OFFICE BUILDING 2, 7TH FLOOR, SUITE 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753909258",
            "telephone_number": "214-645-1919",
            "fax_number": "214-645-1903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5939 HARRY HINES BOULEVARD",
            "address_2": "PROFESSIONAL OFFICE BUILDING 2, 7TH FLOOR, SUITE 700",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753909258",
            "telephone_number": "214-645-1919",
            "fax_number": "214-645-1903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBROUGH",
        "first_name": "SAMANTHA",
        "middle_name": "NEWTON",
        "name_prefix": "Mrs.",
        "credential": "MSN, APRN, A-GNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-07",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1056745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hillary Kimbley, PH.D.
• Michael Thomas Kimbrell, MD
• Misty Dale Kimbrell, DNP, RN, ACNP-BC
• Charles William Kimbrough, MD
• Marquisha Kimbrough, B.S.
• Nyamizi Ruth Kimisha, LVN
• Kimodale Inc
• Kimodale, Inc.
• Jacinta Wangari Kimotho
• Paul Kinberg, D.P.M.

• Nurse Practitioner in Dallas, TX
• Providers in Dallas, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.

Verify at the official NPI Registry.