KAMIANN KIMBERLY KING (FNP-C) – Family Nurse Practitioner, NPI 1205544384

KAMIANN KIMBERLY KING (FNP-C) is a healthcare provider. based in Greenville, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 10984495 (TX). The NPI Number for KAMIANN KIMBERLY KING (FNP-C) is 1205544384

Main info

Female
4 Years Of Experience
Name
KAMIANN KIMBERLY KING (FNP-C)
NPI
1205544384
Phone
(903) 408-5834
Address
501 AIR PARK AVE
Enumeration Date
8 November 2022
Last Update Date
20 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2022 (4 years ago)
PAC ID
4183094766
Professional Enrollment ID
I20260507002873
Address ID
OH448430000LU1771X39XX400

Contacts

Secure Messaging
Kdierkes@huntregional.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:3State licenses:1Other namesUpdated within 12 months

22,209 NURSE PRACTITIONER in TX

Provider Addresses for KAMIANN KIMBERLY KING (FNP-C)

  • 501 AIR PARK AVE

    GREENVILLE, TX 754023000

    Phone: (903) 408-5834

    Fax: (903) 408-5693

    Type: Mailing

  • 734 E QUINLAN PKWY STE A

    QUINLAN, TX 754748640

    Phone: (903) 356-2144

    Fax: (903) 356-3025

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $135.

Total Amount is formed as General ($135) + Research ($0) + Ownership ($0) = $135.

Last reported payment date: 2024-10-24 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($38).

Total Amount

$135

General + Research + Ownership

Payments

8

Total payment records

General Amount

$135

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-07-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20221222001046INurse PractitionerTXTBD
I20250703003024INurse PractitionerOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
87804Detection test by immunoassay with direct visual observation for influenza virus2914$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)1413$0
87880Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)1413$0
View full utilization report →

Insurance plans in this area (ZIP 75402)

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Reviews

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Frequently asked questions

Can I verify KAMIANN KIMBERLY KING (FNP-C) with an NPI only?
You can start verification with NPI 1205544384 for KAMIANN KIMBERLY KING (FNP-C), then check state licensing separately.
Can I rely on KAMIANN KIMBERLY KING (FNP-C) being an active provider?
As of the registry snapshot, KAMIANN KIMBERLY KING (FNP-C) is marked active.
What is KAMIANN KIMBERLY KING (FNP-C) best known for clinically?
Directory data describes KAMIANN KIMBERLY KING (FNP-C) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for KAMIANN KIMBERLY KING (FNP-C)?
KAMIANN KIMBERLY KING (FNP-C)'s geographic hint is Greenville, Texas in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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