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

Kim Heath

Individual provider Gerontology Nurse Practitioner · NPI 1356125546

Kim Heath is a Nurse Practitioner in Texarkana, Texas. Qualified in 2023, 3 years ago. Practices with Icare Pro of Texas ACO Billing Professional Association, a 14-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
3
Licensed in
TX
In the registry since
2023
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Practice location Address checks out

4140 McKnight Rd
Texarkana, TX 75503-0921
Phone: (855) 498-6767
Fax: (479) 968-1673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4114 McKnight Rd Ste C, Texarkana, TX 75503-1086 — (855) 498-6767

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 1134762 (TX)

Record details

NPI number1356125546
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 21, 2023
Last updated in NPPESNovember 13, 2024
Certification dateNovember 13, 2024
Mailing address170 Trails End, Waskom, TX 75692-5642

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Icare Pro Of Texas Aco Billing Professional Association — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Texarkana