Individual provider Active NPI

Darrell Kimbrough, FNP-C

  • Family Nurse Practitioner
  • Amarillo, TX
National Provider Identifier
1952852915
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP131719 Issued in TX
Practice address
7306 SW 34TH Ave Ste 3
Amarillo, TX 79121-1446
Phone
(806) 350-3010
Fax
(806) 350-3015
NPI assigned
Oct 14, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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 AP131719 TX Primary

Addresses

Primary practice location

7306 SW 34TH Ave Ste 3
Amarillo, TX 79121-1446

Mailing address

2501 Lakeview Dr
Amarillo, TX 79109-1531
Phone (806) 358-9400

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
I20161213000511 TX Practitioner - Nurse Practitioner 2365722188 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
FMC Medical Foundation, Inc. Family CurrentSince Jun 11, 2018 Accepting new patients
Amarillo Primary Care PLLC PastSince Nov 1, 2016 Accepting new patients

Locations

2329 Ross Osage St
Amarillo, TX 79103
Phone (806) 350-5790

2501 Lakeview Dr
Amarillo, TX 79109
Phone (806) 350-7325

7306 SW 34th Ave
Ste 3
Amarillo, TX 79121
Phone (806) 350-3010

1616 S Kentucky St
Ste B100
Amarillo, TX 79102
Phone (806) 355-8900

Organizations & group practices 2

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": "1476403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641945600000",
    "number": "1952852915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 LAKEVIEW DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791091531",
            "telephone_number": "806-358-9400",
            "fax_number": "806-355-2453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7306 SW 34TH AVE STE 3",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791211446",
            "telephone_number": "806-350-3010",
            "fax_number": "806-350-3015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBROUGH",
        "first_name": "DARRELL",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-14",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.