Active NPI
Kimberly Dunn Childers, CPNP
- Pediatric Nurse Practitioner
- Houston, TX
National Provider Identifier
1922132976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 600661
- Practice address
- 6621 Fannin St # MC1-1481
Ste. A210
Houston, TX 77030-2303 - Phone
- (832) 824-1627
- Fax
- (832) 825-5424
- NPI assigned
- Mar 14, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 600661 | TX | Primary |
Addresses
Primary practice location
6621 Fannin St # MC1-1481
Ste. A210
Houston, TX 77030-2303
Mailing address
6621 Fannin St # MC1-1480
Emergency Center
Houston, TX 77030-2303
Phone (832) 824-1627
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173830400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259539200000",
"number": "1922132976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6621 FANNIN ST # MC1-1480",
"address_2": "EMERGENCY CENTER",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302303",
"telephone_number": "832-824-1627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6621 FANNIN ST # MC1-1481",
"address_2": "STE. A210",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770302303",
"telephone_number": "832-824-1627",
"fax_number": "832-825-5424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILDERS",
"first_name": "KIMBERLY",
"middle_name": "DUNN",
"name_prefix": "Ms.",
"credential": "CPNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-14",
"last_updated": "2009-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "600661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Houston, TX
- Rahul Chilappa, M.D.
- Child Healthy Dentist PLLC
- Amanda Elizabeth Child
- Lesley Child, LPC, RN
- Amanda Childers, SLP ASSISTANT
- Laura Childers, MA, LPC
- Children 1St Houston South, LLC (Children 1st Dental & Surgery Center)
- Children 1St Houston West, LLC (Children 1st Dental & Surgery Center)
- Children's Doctors
- Children's Home Care, LLC (Children's Home Care)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.