Individual provider Active NPI

Kimberly Theriot Guzman, NP

  • Family Nurse Practitioner
  • Corpus Christi, TX
National Provider Identifier
1992155477
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP131159 Issued in TX
Practice address
613 Elizabeth St Ste 502
Corpus Christi, TX 78404-2224
Phone
(361) 861-1890
Fax
(361) 887-0146
NPI assigned
Jun 15, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2025

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 AP131159 TX Primary

Addresses

Primary practice location

613 Elizabeth St Ste 502
Corpus Christi, TX 78404-2224

Mailing address

613 Elizabeth St Ste 502
Corpus Christi, TX 78404-2224
Phone (361) 883-3831

Other practice location 1

3434 Saratoga Blvd
Corpus Christi, TX 78415-5822
Phone (361) 445-3008

Other practice location 2

5802 Saratoga Blvd Ste 120
Corpus Christi, TX 78414-4253
Phone (361) 881-3582

Other identifiers 2

IdentifierTypeStateIssuer
510011YLPSOtherTXWELLMED PTAN
358837801MedicaidTX

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
I20160708000245 TX Practitioner - Nurse Practitioner 4880986066 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

5802 Saratoga Blvd
Suite 150
Corpus Christi, TX 78414-4254
Phone (361) 986-4600

613 Elizabeth St
Suite 411
Corpus Christi, TX 78404-2223
Phone (361) 888-5524

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

PO Box
Suite 846098
Dallas, TX 75284-6098

Hospital & facility affiliations

  • Christus Spohn Hospital Corpus Christi Hospital, Corpus Christi, TX, CCN 450046

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP131159TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Mar 3, 2025 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Mar 3, 2025 Accepting new patients

Locations

5802 Saratoga Blvd
Ste 120
Corpus Christi, TX 78414
Phone (361) 881-3476

613 Elizabeth St
Ste 502
Corpus Christi, TX 78404
Phone (361) 861-1890

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: kguzman521538@christushealth.direct-ci.net

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.

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": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1992155477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "613 ELIZABETH ST STE 502",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042224",
            "telephone_number": "361-883-3831",
            "fax_number": "361-887-0146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 ELIZABETH ST STE 502",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042224",
            "telephone_number": "361-861-1890",
            "fax_number": "361-887-0146"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3434 Saratoga Blvd",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784155822",
            "country_code": "US",
            "telephone_number": "361-445-3008",
            "fax_number": "361-371-6211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5802 Saratoga Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784144253",
            "country_code": "US",
            "telephone_number": "361-881-3582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "KIMBERLY",
        "middle_name": "THERIOT",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED PTAN",
            "identifier": "510011YLPS",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "358837801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.