KINGS MEDICINE PLLC
NPI 1144631466
Nurse Practitioner in Pleasanton, TX

Q: What is Kings Medicine PLLC's NPI number?

The NPI number for Kings Medicine PLLC is 1144631466. It was assigned to this organization in the NPPES registry on May 9, 2014.

Q: What is Kings Medicine PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since May 09, 2014CLIA 45D2116334 · Waiver

809 N BRYANT ST, PLEASANTON, TX 78064(830) 569-0051(830) 569-0083 Get Directions Write a Review

NPPES record last updated: August 9, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 9, 2019, May 16, 2016, May 10, 2016 (3 updates tracked since 2016).

On this page

About Kings Medicine Pllc NPPES

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

KINGS MEDICINE PLLC (NPI 1144631466) is a healthcare organization registered as a nurse practitioner in Pleasanton, Texas and active in the NPI registry since May 2014. The organization holds a CLIA Waiver certificate valid through July 24, 2028 and lists Diki Reyes, Owner, as its authorized official.

NPPES Registry Identity

NPI1144631466

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameKINGS MEDICINE PLLC

Location Address809 N BRYANT STPleasanton, TX 78064-2549

Mailing AddressPo Box 7Pleasanton, TX 78064-0007 · (830) 569-0051 · Fax (830) 569-0083

Phone(830) 569-0051

Fax(830) 569-0083

Organization SubpartNo

Authorized OfficialDiki ReyesOwner · (830) 569-0051

Enumeration DateMay 9, 2014

Last NPPES UpdateAugust 9, 20193 updates tracked since enumeration

✔ NPI 1144631466 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in TX · 657871

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

809 N BRYANT ST, Pleasanton, TX 78064

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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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kings Medicine Pllc 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 Kings Medicine PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Diki Reyes, FNP

Nurse Practitioner

NPI 1528263621

1342 W GOODWIN ST
Pleasanton, TX 78064

(830) 569-0051

✔ PECOS✔ Accepts Medicare0.7 mi

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 45D2116334

Kings Medicine · Pleasanton, TX

Active · expires Jul 24, 2028

CLIA Number45D2116334

Laboratory TypePractitioner Other

Certificate Effective DateJuly 25, 2026

Certificate Expiration DateJuly 24, 2028

Laboratory DirectorDiki Reyes

Laboratory Phone(830) 569-0051

Laboratory LocationKings Medicine1342 W Goodwin, Pleasanton, TX 78064

CLIA data matches this NPI record on: 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 Kings Medicine PLLC's NPI number?

The NPI number for Kings Medicine PLLC is 1144631466. It was assigned to this organization in the NPPES registry on May 9, 2014.

Where is Kings Medicine PLLC located?

Kings Medicine PLLC is located at 809 N Bryant St, Pleasanton, TX 78064. The listed phone number is (830) 569-0051.

What is Kings Medicine PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Kings Medicine PLLC enrolled in Medicare?

Yes. Kings Medicine PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kings Medicine PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to Kings Medicine PLLC. 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 Kings Medicine PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2116334) is associated with this NPI, valid through July 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kings Medicine PLLC was last updated on August 9, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.