Active NPI
Kimberly Diane McNabb
- Pharmacy Technician
- Burleson, TX
National Provider Identifier
1932879913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pharmacy Technician
- License
- 111825
- Practice address
- 165 NW John Jones Dr
Burleson, TX 76028-5154 - Phone
- (817) 447-3213
- Fax
- (817) 447-3277
- NPI assigned
- Sep 20, 2021
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pharmacy Technician | 183700000X | 111825 | TX | Primary |
Addresses
Primary practice location
165 NW John Jones Dr
Burleson, TX 76028-5154
Mailing address
165 NW John Jones Dr
Burleson, TX 76028-5154
Phone (817) 447-3213
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | NA | ||
| CONNECT URL | NA |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111825 | TX | MD | Pharmacy Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| H-E-B, LP | Current | Accepting new patients |
Locations
165 NW John Jones Dr
Burleson, TX 76028
Phone (817) 447-3213
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632096000000",
"number": "1932879913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 NW JOHN JONES DR",
"city": "BURLESON",
"state": "TX",
"postal_code": "760285154",
"telephone_number": "817-447-3213",
"fax_number": "817-447-3277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 NW JOHN JONES DR",
"city": "BURLESON",
"state": "TX",
"postal_code": "760285154",
"telephone_number": "817-447-3213",
"fax_number": "817-447-3277"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNABB",
"first_name": "KIMBERLY",
"middle_name": "DIANE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-20",
"last_updated": "2021-09-20",
"certification_date": "2021-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "183700000X",
"taxonomy_group": "",
"desc": "Pharmacy Technician",
"state": "TX",
"license": "111825",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "NA",
"affiliation": "N",
"address_1": "165 NW John Jones Dr",
"city": "Burleson",
"state": "TX",
"country_code": "US",
"postal_code": "760285154",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "NA",
"affiliation": "N",
"address_1": "165 NW John Jones Dr",
"city": "Burleson",
"state": "TX",
"country_code": "US",
"postal_code": "760285154",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Burleson, TX
- Karen McFarland, RN
- Dody Renee McGrew, COTA
- Cathryn Sheree McHenry, LMFT
- McKenzie Welch Medical Group, PLLC
- Heather L McKenzie, M.D.
- Med Southwest, PLLC (MyEyeDr.)
- Med Southwest, PLLC (MyEyeDr.)
- Medical Edge Healthcare Group PA (Hoffman Family Practice Associates PA)
- Medical Exercise Therapy
- Medicare Counseling and Therapy LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.