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

Kimberly Zickafoose, WHNP-BC

Individual provider Family Nurse Practitioner · NPI 1063007789

Kimberly Zickafoose, WHNP-BC is a Nurse Practitioner in Live Oak, Texas. Qualified in 2021, 5 years ago. Practices with University of Texas Health Science Center at San Antonio, a 1,295-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
5
Licensed in
TX
In the registry since
2021
Specialties on file
2

Practice location Address checks out

12602 Toepperwein Rd Ste 208
Live Oak, TX 78233-3271
Phone: (210) 878-0090
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Women's Health Nurse Practitioner (primary) Taxonomy 363LW0102X · Licence 1077936 (TX)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 909383 (TX)

Record details

NPI number1063007789
Entity typeIndividual (Type 1)
GenderFemale
Credentials WHNP-BC
Sole proprietorNo
NPI enumeratedMarch 4, 2021
Last updated in NPPESApril 24, 2023
Certification dateApril 24, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice University Of Texas Health Science Center At San Antonio — 1295 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Live Oak