KIMBERLY DETHEROW APRN
NPI 1811458094
Nurse Practitioner - Adult Health in San Antonio, TX
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. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kimberly Detherow Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SAN ANTONIO, TX 78205
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.
Is Kimberly Detherow enrolled in Medicare?
Yes. Kimberly Detherow is registered in the Medicare PECOS enrollment system.
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.
# Kimberly Detherow, APRN · NPI 1811458094
Adult Health physician in San Antonio, Texas. Individual provider, active in the CMS NPPES registry since March 28, 2019.
## Identity
- **NPI:** 1811458094 (Entity type: Individual)
- **Enumerated:** March 28, 2019
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** AP141095 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 126 MAIN PLZ, San Antonio, TX 78205-2745
- **Phone:** (888) 365-6271
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** March 28, 2019
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Source: [NPI Profile](https://npiprofile.com/npi/1811458094) · Data from the CMS NPPES public registry.