CLINICA FAMILIAR KYLE LLC
NPI 1033975933
Nurse Practitioner - Family in Kyle, TX

Active since February 27, 2024CLIA 45D2283007 · Waiver
21511 IH 35 STE 105, KYLE, TX 78640(512) 262-7307(512) 262-0049 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Clinica Familiar Kyle Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLINICA FAMILIAR KYLE LLC (NPI 1033975933), doing business as Clinica Familiar Kyle, is a healthcare organization registered as a family in Kyle, Texas and active in the NPI registry since February 2024. The organization holds a CLIA Waiver certificate valid through May 30, 2027 and lists Greysi Tamayo Gonzalez, Fnp, as its authorized official.

NPPES Registry Identity

NPI1033975933
Entity TypeOrganization
Primary Taxonomy363LF0000X
Legal Business NameCLINICA FAMILIAR KYLE LLC
Location Address21511 IH 35 STE 105Kyle, TX 78640-6683
Mailing Address21511 Ih 35 Ste 105Kyle, TX 78640-6683 · (512) 262-7307 · Fax (512) 262-0049
Fax(512) 262-0049
Organization SubpartNo
Authorized OfficialGreysi Tamayo GonzalezFnp · (512) 262-7307
Enumeration DateFebruary 27, 2024
NPPES CertifiedFebruary 27, 2024
✔ NPI 1033975933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
21511 IH 35 STE 105, Kyle, TX 78640

Other Names 1

Doing Business AsClinica Familiar Kyle

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clinica Familiar Kyle Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Clinica Familiar Kyle LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Nurse Practitioner
NPI 1770351785
21511 IH 35 STE 105
Kyle, TX 78640
(512) 262-7307
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2283007

Clinica Familiar Kyle · Kyle, TX
Active · expires May 30, 2027
CLIA Number45D2283007
Laboratory TypePhysician Office
Certificate Effective DateMay 31, 2025
Certificate Expiration DateMay 30, 2027
Laboratory DirectorGreysi Tamayo
Laboratory Phone(512) 262-7307
Laboratory LocationClinica Familiar Kyle21511 Ih 35, Suite 105, Kyle, TX 78640
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clinica Familiar Kyle LLC's NPI number?

The NPI number for Clinica Familiar Kyle LLC is 1033975933. It was assigned to this organization in the NPPES registry on February 27, 2024. The provider is doing business as Clinica Familiar Kyle.

Where is Clinica Familiar Kyle LLC located?

Clinica Familiar Kyle LLC is located at 21511 Ih 35 Ste 105, Kyle, TX 78640. The listed phone number is (512) 262-7307.

What is Clinica Familiar Kyle LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Clinica Familiar Kyle LLC enrolled in Medicare?

Yes. Clinica Familiar Kyle LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clinica Familiar Kyle LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Clinica Familiar Kyle LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Clinica Familiar Kyle LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2283007) is associated with this NPI, valid through May 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Clinica Familiar Kyle LLC accept?

Health plans from Blue Cross and Blue Shield of Texas list Clinica Familiar Kyle LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Clinica Familiar Kyle LLC was last updated on February 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.