KMG NURSE PRACTITIONER SERVICES LLC
NPI 1053853663
Nurse Practitioner - Family in San Antonio, TX

Q: What is Kmg Nurse Practitioner Services LLC's NPI number?

The NPI number for Kmg Nurse Practitioner Services LLC is 1053853663. It was assigned to this organization in the NPPES registry on November 14, 2016.

Q: What is Kmg Nurse Practitioner Services LLC's specialty?

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

Active since November 14, 2016

7926 MADDIE LN, SAN ANTONIO, TX 78255(210) 827-1218(210) 475-3366 Get Directions Write a Review

NPPES record last updated: November 14, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Kmg Nurse Practitioner Services Llc NPPES

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

KMG NURSE PRACTITIONER SERVICES LLC (NPI 1053853663) is a healthcare organization registered as a family in San Antonio, Texas and active in the NPI registry since November 2016. The organization lists Kara Goodspeed, Owner, as its authorized official.

NPPES Registry Identity

NPI1053853663

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameKMG NURSE PRACTITIONER SERVICES LLC

Location Address7926 MADDIE LNSan Antonio, TX 78255-9524

Mailing Address7926 Maddie LnSan Antonio, TX 78255-9524 · (210) 827-1218 · Fax (210) 475-3366

Phone(210) 827-1218

Fax(210) 475-3366

Organization SubpartNo

Authorized OfficialKara GoodspeedOwner · (210) 827-1218

Enumeration DateNovember 14, 2016

✔ NPI 1053853663 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

License✔ Licensed in TX · AP115987

7926 MADDIE LN, San Antonio, TX 78255

Open in Google Maps ↗

Other Identifiers 2

Medicaid185831801TX

Medicare PIN8J6489TX

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Kmg Nurse Practitioner Services LLC's NPI number?

The NPI number for Kmg Nurse Practitioner Services LLC is 1053853663. It was assigned to this organization in the NPPES registry on November 14, 2016.

Where is Kmg Nurse Practitioner Services LLC located?

Kmg Nurse Practitioner Services LLC is located at 7926 Maddie Ln, San Antonio, TX 78255. The listed phone number is (210) 827-1218.

What is Kmg Nurse Practitioner Services LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Kmg Nurse Practitioner Services LLC was last updated on November 14, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.