Individual provider Active NPI

Naomi Kay Kramer, FNP-C

  • Family Nurse Practitioner
  • Caddo Mills, TX
National Provider Identifier
1891392866
Registry record updated Aug 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1006740 Issued in TX
Practice address
2990 State Highway 66
Caddo Mills, TX 75135
Phone
(972) 533-8556
Fax
(341) 999-2031
NPI assigned
Oct 2, 2020
Last updated
Aug 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1006740 TX Primary

Addresses

Primary practice location

2990 State Highway 66
Caddo Mills, TX 75135

Mailing address

2990 State Highway 66
Caddo Mills, TX 75135-6196
Phone (972) 533-8556

Other names 1

  • Naomi Johnson Former name

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
I20210528000217 TX Practitioner - Nurse Practitioner 0749689578 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2990 State Hwy 66
Caddo Mills, TX 75135-6196
Phone (972) 533-8556

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1006740TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sparta Wellness Clinic PLLC CurrentSince Jul 17, 2024 Accepting new patients
Care United Medical Centers of America, LLP CurrentSince May 1, 2021 Accepting new patients
Fastdoc Professional Association CurrentSince Feb 1, 2024 Accepting new patients

Locations

325 Central Expy S
Allen, TX 75013
Phone (214) 785-7246

2990 State Highway 66
Caddo Mills, TX 75135
Phone (972) 533-8556

375 FM 548
Ste 100
Forney, TX 75126
Phone (972) 564-0044

12275 University Dr
Ste 200
Frisco, TX 75035
Phone (214) 618-3001

Organizations & group practices 3

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1601596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723766400000",
    "number": "1891392866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2990 STATE HIGHWAY 66",
            "city": "CADDO MILLS",
            "state": "TX",
            "postal_code": "751356196",
            "telephone_number": "972-533-8556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2990 STATE HIGHWAY 66",
            "city": "CADDO MILLS",
            "state": "TX",
            "postal_code": "75135",
            "telephone_number": "972-533-8556",
            "fax_number": "341-999-2031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "NAOMI",
        "middle_name": "KAY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-10-02",
        "last_updated": "2024-08-16",
        "certification_date": "2024-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1006740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NAOMI",
            "last_name": "JOHNSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Caddo Mills, TX

Sources for this page

Verify at the official NPI Registry.