Carolyne Kimeli-Mbaraka, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

10016612 Issued in TX

Practice address

9119 Highway 6 Ste 230379
Missouri City, TX 77459-4876

Phone

(979) 645-0105

NPI assigned

Mar 3, 2017

Last updated

Jan 25, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

KHS Geriatrics IncGroup PAC ID 9133427008, 9 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Houston, TX, CCN 673134
• Continuum Care Home Health LLC Home health agency, Houston, TX, CCN 748147
• Benchmark Home Health Home health agency, Houston, TX, CCN 747856
• Signature Health Services Home health agency, Baytown, TX, CCN 678499

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• KHS Geriatrics Inc

  • Skilled Nursing Facility
  • Richmond, TX
  • NPI 1598125718

  Family

  Medicare reassignment Care Compare group NPD
• Wellcare Geriatric Services PLLC

  • Family Nurse Practitioner
  • Missouri City, TX
  • NPI 1285394312
  Authorized official Same address or phone

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Benchmark Houston Inc.

  dba Benchmark Home Health

  • Home Health Agency
  • Houston, TX
  • NPI 1881980118
  Care Compare affiliation
• Continuum Care Home Health LLC

  • Home Health Agency
  • Houston, TX
  • NPI 1326892563
  Care Compare affiliation
• DRC Health Systems, LP

  dba Enhabit Home Health

  • Home Health Agency
  • Houston, TX
  • NPI 1306001243
  Care Compare affiliation
• Immanuel Home Health Care Inc

  dba Signature Health Services

  • Home Health Agency
  • Baytown, TX
  • NPI 1548319288
  Care Compare affiliation

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

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611532800000",
    "number": "1861932253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9119 HIGHWAY 6 STE 230379",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594876",
            "telephone_number": "979-645-0105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9119 HIGHWAY 6 STE 230379",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774594876",
            "telephone_number": "979-645-0105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Old Bluegrass Ave",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402151168",
            "country_code": "US",
            "telephone_number": "502-361-2301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIMELI-MBARAKA",
        "first_name": "CAROLYNE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-03",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3011157",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "10016612",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KY",
            "license": "3011157",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kruti Khara, D.D.S.
• Cindy Vy Khuc
• Kids Pediatric Inc
• Vickie Elaine Kimble
• Kimberly Kimbrough-Edwards
• Tracy Egan Kinamore, LPC-A
• Kinder Healthcare Solutions LLC
• Tawyne King
• Carolyn Kingsberry, MT
• Sheba Ayesha Kirmani, MSLP, CCC/SLP

• Family Nurse Practitioner in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; 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.