KATHLEEN DEVERA TEMBROCK AC-CPNP, MSN, CCRN
NPI 1376191312
Nurse Practitioner in Dallas, TX

Active since September 03, 2019
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235(214) 740-6177 Get Directions Write a Review

NPPES record last updated: January 24, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 24, 2022, Sep 3, 2019 (2 updates tracked since 2019).

About Kathleen Devera Tembrock Ac-cpnp, Msn, Ccrn NPPES

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

KATHLEEN DEVERA TEMBROCK AC-CPNP, MSN, CCRN (NPI 1376191312) is an individual nurse practitioner in Dallas, Texas, licensed in Texas (1021237) and active in the NPI registry since September 2019.

NPPES Registry Identity

NPI1376191312
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKATHLEEN DEVERA TEMBROCKCredential: AC-CPNP, MSN, CCRN
Location Address1935 MEDICAL DISTRICT DRDallas, TX 75235-7701
Mailing Address3455 Sw Us Veterans Hospital RdPortland, OR 97239-3076
Sole ProprietorNo
Enumeration DateSeptember 3, 2019
Last NPPES UpdateJanuary 24, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2022
NPI 1376191312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in TX · 1021237
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.
Also ListedRegistered Nurse · PediatricsTaxonomy 163WP0200X · License 201709498RN (OR)
1935 MEDICAL DISTRICT DR, Dallas, TX 75235

Other Names 1

Former Name (1)Kathleen Kaye Devera Bsn, Ccrn

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Pediatrics)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Physician Assistant
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Nurse Practitioner (Pediatrics)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Nurse Practitioner (Pediatrics, Critical Care)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Student in an Organized Health Care Education/Training Program
1935 MEDICAL DISTRICT DR, GRADUATE MEDICAL EDUCATION
DALLAS, TX 75235
Physician Assistant
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Student in an Organized Health Care Education/Training Program
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235
Nurse Practitioner (Pediatrics)
1935 MEDICAL DISTRICT DR
DALLAS, TX 75235

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 Kathleen Tembrock's NPI number?

The NPI number for Kathleen Tembrock is 1376191312. It was assigned to this individual provider in the NPPES registry on September 3, 2019. The provider is also known as Kathleen Kaye Devera Bsn, Ccrn.

Where is Kathleen Tembrock located?

Kathleen Tembrock practices at 1935 Medical District Dr, Dallas, TX 75235. The listed phone number is (214) 740-6177.

What is Kathleen Tembrock's specialty?

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

When was this NPI record last updated?

The NPPES record for Kathleen Tembrock was last updated on January 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.