KIMBERLY DETHEROW APRN
NPI 1811458094
Nurse Practitioner - Adult Health in San Antonio, TX

Q: What is Kimberly Detherow's NPI number?

The NPI number for Kimberly Detherow is 1811458094. It was assigned to this individual provider in the NPPES registry on March 28, 2019.

Q: What is Kimberly Detherow's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Detherow was last updated on March 28, 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.

Active since March 28, 2019

126 MAIN PLZ, SAN ANTONIO, TX 78205(888) 365-6271 Get Directions Write a Review

NPPES record last updated: March 28, 2019. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Kimberly Detherow Aprn NPPES

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

KIMBERLY DETHEROW APRN (NPI 1811458094) is an individual adult health provider in San Antonio, Texas, licensed in Texas (AP141095) and active in the NPI registry since March 2019.

NPPES Registry Identity

NPI1811458094

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameKIMBERLY DETHEROWCredential: APRN

Location Address126 MAIN PLZSan Antonio, TX 78205-2745

Mailing Address24015 Augusta Falls LnSpring, TX 77389-4276 · (832) 221-7098

Phone(888) 365-6271

Sole ProprietorNo

Enumeration DateMarch 28, 2019

✔ NPI 1811458094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in TX · AP141095

126 MAIN PLZ, San Antonio, TX 78205

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc..Insurance ›

Other Providers at the Same Location NPPES 2

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

EYITAYO ODENIYI DNP, GNP-BC, PMHNP-B

Nurse Practitioner (Psychiatric/Mental Health)

126 MAIN PLZ
SAN ANTONIO, TX 78205

Bexar County (888) 365-6271

MAYRA GARCIA

Counselor (Mental Health)

126 MAIN PLZ
SAN ANTONIO, TX 78205

Bexar County (210) 569-8161

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 Kimberly Detherow's NPI number?

The NPI number for Kimberly Detherow is 1811458094. It was assigned to this individual provider in the NPPES registry on March 28, 2019.

Where is Kimberly Detherow located?

Kimberly Detherow practices at 126 Main Plz, San Antonio, TX 78205. The listed phone number is (888) 365-6271.

What is Kimberly Detherow's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

What insurance does Kimberly Detherow accept?

Health plans from Blue Cross and Blue Shield of Texas and Imperial Insurance Companies, Inc. list Kimberly Detherow 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 Kimberly Detherow was last updated on March 28, 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.