Kimberly D Nix, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

AP121362 Issued in TX

Practice address

200 Stadium Dr
Seymour, TX 76380-2344

Phone

(940) 889-5572

Fax

(940) 889-3337

NPI assigned

Jan 20, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baylor County Hospital DistrictGroup PAC ID 6103739222, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Seymour Hospital Hospital, Seymour, TX, CCN 451399

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Baylor County Hospital District

  dba Seymour Hospital

  • Critical Access Hospital
  • Seymour, TX
  • NPI 1194893263
  Medicare reassignment Care Compare group NPD
• Texoma Outpatient Surgery Center, Inc.

  • Certified Registered Nurse Anesthetist
  • Wichita Falls, TX
  • NPI 1063517316

  Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Baylor County Hospital District

  dba Avir at Brady

  • Skilled Nursing Facility
  • Brady, TX
  • NPI 1710395892
  NPD
• Texoma Outpatient Surgery Center, Inc.

  • Ambulatory Surgical Clinic/Center
  • Wichita Falls, TX
  • NPI 1154322600
  NPD
• Baylor County Hospital District

  dba Seymour Hospital Rural Health Clinic

  • Rural Health Clinic/Center
  • Seymour, TX
  • NPI 1740358803
  NPD (past)

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

• Baylor County Hospital District

  dba Seymour Hospital

  • Critical Access Hospital
  • Seymour, TX
  • NPI 1194893263
  Care Compare affiliation

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1962773143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 STADIUM DR",
            "city": "SEYMOUR",
            "state": "TX",
            "postal_code": "763802344",
            "telephone_number": "940-889-5572",
            "fax_number": "940-889-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 STADIUM DR",
            "city": "SEYMOUR",
            "state": "TX",
            "postal_code": "763802344",
            "telephone_number": "940-889-5572",
            "fax_number": "940-889-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIX",
        "first_name": "KIMBERLY",
        "middle_name": "D",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-20",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "502061",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "AP121362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "309174603",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ehr-direct@seyhosp.hin.us",
            "affiliation": "N",
            "address_1": "200 Stadium Dr",
            "city": "Seymour",
            "state": "TX",
            "country_code": "US",
            "postal_code": "763802344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Selah Mauldin, DO
• Deangelia Hoyt Morrow, ABOC
• Christie Dianne Munoz, M.D.
• My Beach House LLC
• Michael J Newman, DDS
• Outreach Health Community Care Services (Outreach Health Services)
• Outreach Health Community Care Services (Outreach Health Services)
• Outreach Health Community Care Services (Outreach Health Services)
• Outreach Health Community Care Services (Outreach Health Services)
• Outreach Health Community Care Services LC (Outreach Health Services)

• Certified Registered Nurse Anesthetist in Seymour, TX
• Providers in Seymour, TX by specialty
• Certified Registered Nurse Anesthetist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.