Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kayla Lien Himphayvanh

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1578036026

Kayla Lien Himphayvanh is a Nurse Practitioner in Boerne, Texas. Qualified in 2018, 8 years ago. Practices with Centric Physicians Group PLLC, a 22-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Texas.

Years since qualifying
8
Licensed in
TX
In the registry since
2019
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Practice location Address checks out

113 Pleasant Valley Dr Ste 210
Boerne, TX 78006-5683
Phone: (830) 267-4575
Fax: (830) 267-4575
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence AP139661 (TX)

Record details

NPI number1578036026
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 8, 2019
Last updated in NPPESAugust 4, 2020
Certification dateAugust 4, 2020
Mailing address113 Pleasant Valley Dr Ste 210, Boerne, TX 78006-5683

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Centric Physicians Group Pllc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations13 on file with Medicare

Other providers in Boerne