Stephanie Reedy Kinkade, APRN, FNP

Key facts

NPI

1992576607

Entity type

Individual (NPI type 1)

Primary specialty

Family Nurse Practitioner 363LF0000X

License

1149483 (TX)

Practice address

1665 Antilley Rd Ste 200
Abilene, TX 79606-5271

Phone

(325) 695-4969

NPI assigned

Jan 11, 2024

Sex

Female

Sole proprietor

No

Organizations & group practices 5

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.

• Privia Medical Group West Texas, PLLC Specialist · Abilene, TX · NPI 1346242567
  Medicare reassignment Care Compare group NPD TX
• Abilene Allergy PLLC Allergy & Immunology Physician · Abilene, TX · NPI 1487367637
  Medicare reassignment NPD TX
• Privia Medical Group West Texas, PLLC Podiatrist · Abilene, TX · NPI 1912149758
  Care Compare group
• Privia Medical Group West Texas, PLLC Podiatrist · Abilene, TX · NPI 1043725062
  NPD
• Privia Medical Group West Texas, PLLC Pathology Specialist/Technologist · Abilene, TX · NPI 1760482665
  NPD (past)

Hospital & facility affiliations 1

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

• Hendrick Medical Center General Acute Care Hospital · Abilene, TX · NPI 1528064649
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Privia Medical Group West Texas, PLLC (57 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hendrick Medical Center Hospital · Abilene, TX · CCN 450229

Medicare participation

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: stephanie.kinkade.1@23308.direct.athenahealth.com

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 11, 2024.

{
    "created_epoch": "1704931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1992576607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4625 PAMELA DR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796063210",
            "telephone_number": "325-260-4500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 ANTILLEY RD STE 200",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796065271",
            "telephone_number": "325-695-4969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINKADE",
        "first_name": "STEPHANIE",
        "middle_name": "REEDY",
        "credential": "APRN, FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-01-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1149483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abilene, TX

• Lynn Marie King, OT
• Matthew J King, PT, DPT
• Traci Jean King, D.D.S.
• Jacob William Kinkade, LPC
• Misha Nicole Kinkade, M.S./ CCC-SLP
• Lisa Kinsey, MS CCC-SLP
• D'Lyla A Kirby, M.S., CCC/SLP
• Franz Klein, D.C.
• Mary S Klein, PHARM.D.
• Kyle Kleinpeter, D.O.

All providers in Abilene, TX · Family Nurse Practitioner in Texas