Kristina Renee Fimbres, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA09928 Issued in TX

Practice address

2501 E Hebron Pkwy
Suite 200
Carrollton, TX 75010

Phone

(469) 464-5133

NPI assigned

Jan 27, 2015

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Knead Physical Medicine PA

  • Pain Medicine (Anesthesiology) Physician
  • Frisco, TX
  • NPI 1043665367
  NPD (past)
• Marchetti Physical Medicine P.a.

  • Family Medicine Physician
  • Frisco, TX
  • NPI 1851839815
  NPD (past)

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534204800000",
    "number": "1861882995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 FOX GLENN CIR",
            "city": "BEDFORD",
            "state": "TX",
            "postal_code": "760212671",
            "telephone_number": "817-975-9932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 E HEBRON PKWY",
            "address_2": "SUITE 200",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "75010",
            "telephone_number": "469-464-5133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2501 E Hebron Pkwy",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750104468",
            "country_code": "US",
            "telephone_number": "469-464-5133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8180 Park Ln",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752315993",
            "country_code": "US",
            "telephone_number": "214-377-7906",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6505 W Park Blvd Ste 155",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750936286",
            "country_code": "US",
            "telephone_number": "469-304-3443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "897 N MacArthur Blvd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Coppell",
            "state": "TX",
            "postal_code": "750192707",
            "country_code": "US",
            "telephone_number": "469-304-3443",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13465 Inwood Rd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752445349",
            "country_code": "US",
            "telephone_number": "469-304-3443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FIMBRES",
        "first_name": "KRISTINA",
        "middle_name": "RENEE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-27",
        "last_updated": "2018-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Felix Segovia MD Associated
• Katharine Fernandez, M.S. CCC-SLP
• Sutha M Fernando
• Susie A Feshold, OTR
• Fifty50 Foods LP
• First Lone Star Pharmacy Group II
• First Texas Hospice LLC
• First Texas Hospital Carrollton LLC
• Jacqueline Fisher, LAT, ATC
• Peyton Fisher, DPT

• Physician Assistant in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.